Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,403.15 / $7,920.26	Facility		$2,747.00	$3,403.15	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,365.69 / $1,873.87 / $7,354.86	Professional		$1,365.69	$1,873.87	$7,354.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,900.69 / $2,932.30 / $4,166.58	Professional		$1,900.69	$2,932.30	$4,166.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,217.42 / $3,147.78 / $3,583.33	Professional		$2,217.42	$3,147.78	$3,583.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,873.87 / $2,778.99 / $4,039.32	Facility		$1,873.87	$2,778.99	$4,039.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,272.03 / $2,800.02 / $4,516.53	Professional		$2,272.03	$2,800.02	$4,516.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,006.55 / $2,701.24 / $2,838.79	Facility		$2,006.55	$2,701.24	$2,838.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,873.87 / $3,009.19 / $4,028.82	Facility		$1,873.87	$3,009.19	$4,028.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,449.42 / $3,304.56 / $4,353.81	Professional		$2,449.42	$3,304.56	$4,353.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,266.73 / $7,266.73 / $7,266.73	Facility		$7,266.73	$7,266.73	$7,266.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,599.73 / $3,420.07 / $4,505.14	Professional		$2,599.73	$3,420.07	$4,505.14
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 $2,168.41 / $3,059.99 / $4,497.09	Professional		$2,168.41	$3,059.99	$4,497.09