Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,237.72 / $7,920.26	Facility		$2,747.00	$4,237.72	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,676.71 / $2,327.14 / $9,129.58	Professional		$1,676.71	$2,327.14	$9,129.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,349.85 / $3,652.63 / $5,203.06	Professional		$2,349.85	$3,652.63	$5,203.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,757.10 / $3,914.73 / $4,456.41	Professional		$2,757.10	$3,914.73	$4,456.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,327.14 / $3,415.08 / $5,003.35	Facility		$2,327.14	$3,415.08	$5,003.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,833.51 / $3,581.79 / $5,632.68	Professional		$2,833.51	$3,581.79	$5,632.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,185.67 / $3,192.84 / $3,544.97	Facility		$2,185.67	$3,192.84	$3,544.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,327.14 / $3,698.79 / $4,912.16	Facility		$2,327.14	$3,698.79	$4,912.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,028.15 / $4,100.89 / $5,405.68	Professional		$3,028.15	$4,100.89	$5,405.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,280.78 / $9,280.78 / $9,280.78	Facility		$9,280.78	$9,280.78	$9,280.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,238.75 / $4,260.72 / $5,612.50	Professional		$3,238.75	$4,260.72	$5,612.50
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 $2,693.08 / $3,638.89 / $5,550.37	Professional		$2,693.08	$3,638.89	$5,550.37