Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,936.18 / $7,920.26	Facility		$2,747.00	$3,936.18	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,687.87 / $2,141.58 / $8,518.09	Professional		$1,687.87	$2,141.58	$8,518.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,218.50 / $3,581.69 / $4,864.78	Professional		$2,218.50	$3,581.69	$4,864.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,558.65 / $3,596.51 / $4,094.16	Professional		$2,558.65	$3,596.51	$4,094.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,141.58 / $3,339.79 / $4,849.22	Facility		$2,141.58	$3,339.79	$4,849.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,646.70 / $3,434.10 / $5,261.32	Professional		$2,646.70	$3,434.10	$5,261.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,320.23 / $3,116.91 / $3,379.48	Facility		$2,320.23	$3,116.91	$3,379.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,141.58 / $3,568.94 / $4,604.39	Facility		$2,141.58	$3,568.94	$4,604.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,845.83 / $3,887.10 / $5,075.84	Professional		$2,845.83	$3,887.10	$5,075.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,885.08 / $8,885.08 / $8,885.08	Facility		$8,885.08	$8,885.08	$8,885.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,030.87 / $3,987.24 / $5,252.26	Professional		$3,030.87	$3,987.24	$5,252.26
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 $2,554.23 / $3,661.67 / $5,194.10	Professional		$2,554.23	$3,661.67	$5,194.10