Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,652.70 / $7,920.26	Facility		$2,747.00	$3,652.70	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,487.24 / $2,016.35 / $7,936.88	Professional		$1,487.24	$2,016.35	$7,936.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,056.21 / $3,211.22 / $4,478.31	Professional		$2,056.21	$3,211.22	$4,478.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,378.04 / $3,367.05 / $3,832.94	Professional		$2,378.04	$3,367.05	$3,832.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,016.35 / $2,992.94 / $4,372.53	Facility		$2,016.35	$2,992.94	$4,372.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,440.15 / $3,040.14 / $4,850.72	Professional		$2,440.15	$3,040.14	$4,850.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,125.57 / $2,812.80 / $3,051.18	Facility		$2,125.57	$2,812.80	$3,051.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,016.35 / $3,282.55 / $4,335.14	Facility		$2,016.35	$3,282.55	$4,335.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,646.88 / $3,562.11 / $4,688.56	Professional		$2,646.88	$3,562.11	$4,688.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,644.69 / $7,644.69 / $7,644.69	Facility		$7,644.69	$7,644.69	$7,644.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,799.61 / $3,683.02 / $4,851.52	Professional		$2,799.61	$3,683.02	$4,851.52
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 $2,301.63 / $3,355.07 / $4,797.82	Professional		$2,301.63	$3,355.07	$4,797.82