Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,548.91 / $7,920.26	Facility		$2,747.00	$3,548.91	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,528.34 / $1,929.42 / $7,673.18	Professional		$1,528.34	$1,929.42	$7,673.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,996.78 / $3,228.32 / $4,385.87	Professional		$1,996.78	$3,228.32	$4,385.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,305.92 / $3,242.60 / $3,691.27	Professional		$2,305.92	$3,242.60	$3,691.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,929.42 / $3,008.93 / $4,366.97	Facility		$1,929.42	$3,008.93	$4,366.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,384.65 / $3,087.90 / $4,740.39	Professional		$2,384.65	$3,087.90	$4,740.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,163.78 / $2,809.04 / $3,030.76	Facility		$2,163.78	$2,809.04	$3,030.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,929.42 / $3,215.38 / $4,148.25	Facility		$1,929.42	$3,215.38	$4,148.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,561.96 / $3,476.46 / $4,572.17	Professional		$2,561.96	$3,476.46	$4,572.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,077.66 / $8,077.66 / $8,077.66	Facility		$8,077.66	$8,077.66	$8,077.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,730.12 / $3,591.59 / $4,731.09	Professional		$2,730.12	$3,591.59	$4,731.09
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 $2,299.96 / $3,250.80 / $4,678.70	Professional		$2,299.96	$3,250.80	$4,678.70