Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,807.38 / $7,920.26	Facility		$2,747.00	$3,807.38	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.65 / $2,071.26 / $8,236.71	Professional		$1,730.65	$2,071.26	$8,236.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,144.90 / $3,464.12 / $4,705.47	Professional		$2,144.90	$3,464.12	$4,705.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,474.66 / $3,478.86 / $3,960.23	Professional		$2,474.66	$3,478.86	$3,960.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,071.26 / $3,230.13 / $5,193.54	Facility		$2,071.26	$3,230.13	$5,193.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,559.71 / $3,361.71 / $5,088.39	Professional		$2,559.71	$3,361.71	$5,088.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,320.08 / $3,131.56 / $3,626.04	Facility		$2,320.08	$3,131.56	$3,626.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,071.26 / $3,523.11 / $4,504.41	Facility		$2,071.26	$3,523.11	$4,504.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,800.56 / $3,731.52 / $4,907.95	Professional		$2,800.56	$3,731.52	$4,907.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,612.65 / $9,612.65 / $9,612.65	Facility		$9,612.65	$9,612.65	$9,612.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,930.62 / $3,855.36 / $5,078.54	Professional		$2,930.62	$3,855.36	$5,078.54
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 $2,422.00 / $3,875.20 / $5,022.33	Professional		$2,422.00	$3,875.20	$5,022.33