Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,388.82 / $7,920.26	Facility		$2,747.00	$3,388.82	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,409.59 / $1,865.76 / $7,323.64	Professional		$1,409.59	$1,865.76	$7,323.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,907.89 / $2,997.33 / $4,148.88	Professional		$1,907.89	$2,997.33	$4,148.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,207.79 / $3,134.19 / $3,567.87	Professional		$2,207.79	$3,134.19	$3,567.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,865.76 / $2,778.66 / $4,065.24	Facility		$1,865.76	$2,778.66	$4,065.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,261.89 / $2,851.08 / $4,496.35	Professional		$2,261.89	$2,851.08	$4,496.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,942.36 / $2,686.03 / $2,826.73	Facility		$1,942.36	$2,686.03	$2,826.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,865.76 / $3,096.03 / $4,011.38	Facility		$1,865.76	$3,096.03	$4,011.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,459.56 / $3,293.16 / $4,337.33	Professional		$2,459.56	$3,293.16	$4,337.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,153.13 / $7,153.13 / $7,153.13	Facility		$7,153.13	$7,153.13	$7,153.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,589.89 / $3,407.12 / $4,488.08	Professional		$2,589.89	$3,407.12	$4,488.08
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 $2,117.52 / $3,075.49 / $4,480.08	Professional		$2,117.52	$3,075.49	$4,480.08