Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,397.16 / $7,920.26	Facility		$2,747.00	$3,397.16	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,447.73 / $1,853.54 / $7,367.81	Professional		$1,447.73	$1,853.54	$7,367.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,914.92 / $3,121.72 / $4,189.20	Professional		$1,914.92	$3,121.72	$4,189.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,195.89 / $3,097.11 / $3,525.66	Professional		$2,195.89	$3,097.11	$3,525.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,853.54 / $2,861.43 / $4,164.27	Facility		$1,853.54	$2,861.43	$4,164.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,265.63 / $2,957.19 / $4,503.80	Professional		$2,265.63	$2,957.19	$4,503.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,061.55 / $2,674.98 / $2,880.33	Facility		$2,061.55	$2,674.98	$2,880.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,853.54 / $3,088.92 / $3,985.11	Facility		$1,853.54	$3,088.92	$3,985.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,461.92 / $3,317.34 / $4,369.96	Professional		$2,461.92	$3,317.34	$4,369.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,614.51 / $7,614.51 / $7,614.51	Facility		$7,614.51	$7,614.51	$7,614.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,623.72 / $3,451.62 / $4,546.70	Professional		$2,623.72	$3,451.62	$4,546.70
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 $2,238.19 / $2,956.10 / $4,496.37	Professional		$2,238.19	$2,956.10	$4,496.37