Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,104.60 / $7,920.26	Facility		$2,747.00	$4,104.60	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,765.52 / $2,233.30 / $8,879.54	Professional		$1,765.52	$2,233.30	$8,879.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,312.90 / $3,733.62 / $5,074.24	Professional		$2,312.90	$3,733.62	$5,074.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,667.25 / $3,748.59 / $4,267.28	Professional		$2,667.25	$3,748.59	$4,267.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,233.30 / $3,482.83 / $5,055.63	Facility		$2,233.30	$3,482.83	$5,055.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,759.31 / $3,581.40 / $5,485.18	Professional		$2,759.31	$3,581.40	$5,485.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,554.28 / $3,249.21 / $3,532.24	Facility		$2,554.28	$3,249.21	$3,532.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,233.30 / $3,721.79 / $4,801.60	Facility		$2,233.30	$3,721.79	$4,801.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,966.70 / $4,025.58 / $5,292.14	Professional		$2,966.70	$4,025.58	$5,292.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,261.29 / $9,261.29 / $9,261.29	Facility		$9,261.29	$9,261.29	$9,261.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,160.02 / $4,157.16 / $5,476.08	Professional		$3,160.02	$4,157.16	$5,476.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,662.93 / $3,678.50 / $5,415.44	Professional		$2,662.93	$3,678.50	$5,415.44