Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,411.68 / $7,920.26	Facility		$2,747.00	$4,411.68	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,897.29 / $2,399.57 / $9,546.20	Professional		$1,897.29	$2,399.57	$9,546.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,487.23 / $4,011.34 / $5,454.81	Professional		$2,487.23	$4,011.34	$5,454.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,867.13 / $4,028.49 / $4,585.89	Professional		$2,867.13	$4,028.49	$4,585.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,399.57 / $3,742.13 / $5,436.05	Facility		$2,399.57	$3,742.13	$5,436.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,966.93 / $3,804.18 / $5,897.90	Professional		$2,966.93	$3,804.18	$5,897.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,684.13 / $3,492.68 / $3,773.32	Facility		$2,684.13	$3,492.68	$3,773.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,399.57 / $3,998.88 / $5,159.08	Facility		$2,399.57	$3,998.88	$5,159.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,189.94 / $4,328.22 / $5,687.66	Professional		$3,189.94	$4,328.22	$5,687.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,910.76 / $9,910.76 / $9,910.76	Facility		$9,910.76	$9,910.76	$9,910.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,396.19 / $4,467.85 / $5,885.35	Professional		$3,396.19	$4,467.85	$5,885.35
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 $2,864.17 / $3,855.62 / $5,820.19	Professional		$2,864.17	$3,855.62	$5,820.19