Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,682.30 / $7,920.26	Facility		$2,747.00	$3,682.30	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,623.02 / $2,003.19 / $7,967.25	Professional		$1,623.02	$2,003.19	$7,967.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,175.06 / $3,349.86 / $4,551.08	Professional		$2,175.06	$3,349.86	$4,551.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,393.96 / $3,365.30 / $3,830.95	Professional		$2,393.96	$3,365.30	$3,830.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,003.19 / $3,123.97 / $4,666.88	Facility		$2,003.19	$3,123.97	$4,666.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,476.44 / $3,212.65 / $4,922.89	Professional		$2,476.44	$3,212.65	$4,922.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,286.90 / $2,916.28 / $3,242.80	Facility		$2,286.90	$2,916.28	$3,242.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,003.19 / $3,338.32 / $4,306.85	Facility		$2,003.19	$3,338.32	$4,306.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,786.50 / $3,610.62 / $4,747.27	Professional		$2,786.50	$3,610.62	$4,747.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,626.02 / $8,626.02 / $8,626.02	Facility		$8,626.02	$8,626.02	$8,626.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,834.06 / $3,728.33 / $4,911.21	Professional		$2,834.06	$3,728.33	$4,911.21
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 $2,388.89 / $3,698.92 / $4,856.83	Professional		$2,388.89	$3,698.92	$4,856.83