Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,444.28 / $7,920.26	Facility		$2,747.00	$3,444.28	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,397.89 / $1,895.17 / $7,438.33	Professional		$1,397.89	$1,895.17	$7,438.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,922.29 / $2,990.03 / $4,215.75	Professional		$1,922.29	$2,990.03	$4,215.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,244.62 / $3,187.95 / $3,629.06	Professional		$2,244.62	$3,187.95	$3,629.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,895.17 / $2,825.01 / $4,075.42	Facility		$1,895.17	$2,825.01	$4,075.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,299.26 / $2,829.69 / $4,570.64	Professional		$2,299.26	$2,829.69	$4,570.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,063.48 / $2,734.36 / $2,872.29	Facility		$2,063.48	$2,734.36	$2,872.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,895.17 / $3,075.87 / $4,074.62	Facility		$1,895.17	$3,075.87	$4,074.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,477.89 / $3,344.64 / $4,405.31	Professional		$2,477.89	$3,344.64	$4,405.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,554.19 / $7,554.19 / $7,554.19	Facility		$7,554.19	$7,554.19	$7,554.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,630.48 / $3,460.52 / $4,558.43	Professional		$2,630.48	$3,460.52	$4,558.43
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 $2,149.66 / $3,261.17 / $4,550.31	Professional		$2,149.66	$3,261.17	$4,550.31