Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $2,747.00 / $7,920.26	Facility		$2,354.00	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.53 / $1,560.89 / $6,171.61	Professional		$1,209.53	$1,560.89	$6,171.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,595.05 / $2,481.38 / $3,369.06	Professional		$1,595.05	$2,481.38	$3,369.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,773.10 / $2,494.19 / $2,839.32	Professional		$1,773.10	$2,494.19	$2,839.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,560.89 / $2,328.75 / $3,359.00	Facility		$1,560.89	$2,328.75	$3,359.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,833.32 / $2,378.26 / $3,644.41	Professional		$1,833.32	$2,378.26	$3,644.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,719.01 / $2,159.94 / $2,412.00	Facility		$1,719.01	$2,159.94	$2,412.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,560.89 / $2,601.21 / $3,355.91	Facility		$1,560.89	$2,601.21	$3,355.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,050.14 / $2,673.06 / $3,512.30	Professional		$2,050.14	$2,673.06	$3,512.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,351.07 / $6,351.07 / $6,351.07	Facility		$6,351.07	$6,351.07	$6,351.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,097.25 / $2,759.03 / $3,634.38	Professional		$2,097.25	$2,759.03	$3,634.38
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 $1,839.76 / $2,641.44 / $3,594.13	Professional		$1,839.76	$2,641.44	$3,594.13