Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,682.51 / $7,920.26	Facility		$2,747.00	$3,682.51	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,459.70 / $2,029.28 / $7,978.06	Professional		$1,459.70	$2,029.28	$7,978.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,066.13 / $3,204.65 / $4,510.76	Professional		$2,066.13	$3,204.65	$4,510.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,399.88 / $3,403.25 / $3,874.15	Professional		$2,399.88	$3,403.25	$3,874.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,029.28 / $2,978.87 / $4,362.95	Facility		$2,029.28	$2,978.87	$4,362.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,460.42 / $3,098.23 / $4,891.04	Professional		$2,460.42	$3,098.23	$4,891.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,210.13 / $2,923.48 / $3,073.29	Facility		$2,210.13	$2,923.48	$3,073.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,029.28 / $3,222.82 / $4,098.56	Facility		$2,029.28	$3,222.82	$4,098.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,661.58 / $3,575.54 / $4,716.37	Professional		$2,661.58	$3,575.54	$4,716.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,177.04 / $8,177.04 / $8,177.04	Facility		$8,177.04	$8,177.04	$8,177.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,816.22 / $3,704.87 / $4,880.30	Professional		$2,816.22	$3,704.87	$4,880.30
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 $2,400.38 / $3,536.58 / $4,826.25	Professional		$2,400.38	$3,536.58	$4,826.25