Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,513.19 / $7,920.26	Facility		$2,747.00	$3,513.19	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.40 / $1,910.43 / $7,593.80	Professional		$1,461.40	$1,910.43	$7,593.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,976.44 / $3,195.86 / $4,341.62	Professional		$1,976.44	$3,195.86	$4,341.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,282.42 / $3,209.69 / $3,653.81	Professional		$2,282.42	$3,209.69	$3,653.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,910.43 / $2,979.32 / $4,321.63	Facility		$1,910.43	$2,979.32	$4,321.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,360.09 / $3,064.80 / $4,691.58	Professional		$2,360.09	$3,064.80	$4,691.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,126.96 / $2,780.42 / $3,000.84	Facility		$2,126.96	$2,780.42	$3,000.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,910.43 / $3,281.22 / $4,107.42	Facility		$1,910.43	$3,281.22	$4,107.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,535.89 / $3,442.14 / $4,525.82	Professional		$2,535.89	$3,442.14	$4,525.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,870.05 / $7,870.05 / $7,870.05	Facility		$7,870.05	$7,870.05	$7,870.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,702.45 / $3,555.19 / $4,683.13	Professional		$2,702.45	$3,555.19	$4,683.13
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 $2,276.04 / $3,218.40 / $4,674.76	Professional		$2,276.04	$3,218.40	$4,674.76