Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,398.64 / $7,920.26	Facility		$2,747.00	$3,398.64	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,554.99 / $1,849.54 / $7,359.69	Professional		$1,554.99	$1,849.54	$7,359.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,917.60 / $3,091.49 / $4,201.00	Professional		$1,917.60	$3,091.49	$4,201.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,207.82 / $3,103.50 / $3,532.93	Professional		$2,207.82	$3,103.50	$3,532.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,784.83 / $2,884.36 / $4,329.03	Facility		$1,784.83	$2,884.36	$4,329.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,283.78 / $3,017.36 / $4,539.88	Professional		$2,283.78	$3,017.36	$4,539.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,129.38 / $2,689.54 / $2,944.65	Facility		$2,129.38	$2,689.54	$2,944.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,784.83 / $3,162.43 / $3,976.51	Facility		$1,784.83	$3,162.43	$3,976.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,460.26 / $3,332.16 / $4,380.59	Professional		$2,460.26	$3,332.16	$4,380.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,847.00 / $7,847.00 / $7,847.00	Facility		$7,847.00	$7,847.00	$7,847.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,615.71 / $3,441.10 / $4,532.85	Professional		$2,615.71	$3,441.10	$4,532.85
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 $2,206.36 / $3,252.15 / $4,482.66	Professional		$2,206.36	$3,252.15	$4,482.66