Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,519.66 / $7,920.26	Facility		$2,747.00	$3,519.66	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,629.09 / $1,914.24 / $7,607.95	Professional		$1,629.09	$1,914.24	$7,607.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,980.06 / $3,200.48 / $4,349.49	Professional		$1,980.06	$3,200.48	$4,349.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,286.63 / $3,215.57 / $3,660.50	Professional		$2,286.63	$3,215.57	$3,660.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,914.24 / $2,985.26 / $4,365.13	Facility		$1,914.24	$2,985.26	$4,365.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,364.37 / $3,070.35 / $4,700.08	Professional		$2,364.37	$3,070.35	$4,700.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,955.10 / $2,785.53 / $3,118.85	Facility		$1,955.10	$2,785.53	$3,118.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,914.24 / $3,306.15 / $4,115.62	Facility		$1,914.24	$3,306.15	$4,115.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,540.56 / $3,446.82 / $4,533.03	Professional		$2,540.56	$3,446.82	$4,533.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,040.39 / $8,040.39 / $8,040.39	Facility		$8,040.39	$8,040.39	$8,040.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,706.13 / $3,560.04 / $4,689.52	Professional		$2,706.13	$3,560.04	$4,689.52
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 $2,280.19 / $3,403.28 / $4,637.60	Professional		$2,280.19	$3,403.28	$4,637.60