Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,436.63 / $7,920.26	Facility		$2,747.00	$3,436.63	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,389.79 / $1,868.77 / $7,429.11	Professional		$1,389.79	$1,868.77	$7,429.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,001.98 / $3,057.92 / $4,246.22	Professional		$2,001.98	$3,057.92	$4,246.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,233.17 / $3,141.46 / $3,576.14	Professional		$2,233.17	$3,141.46	$3,576.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,868.77 / $2,872.64 / $4,017.86	Facility		$1,868.77	$2,872.64	$4,017.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,308.86 / $3,050.50 / $4,589.74	Professional		$2,308.86	$3,050.50	$4,589.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,120.23 / $2,720.41 / $2,948.81	Facility		$2,120.23	$2,720.41	$2,948.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,868.77 / $3,114.31 / $4,017.86	Facility		$1,868.77	$3,114.31	$4,017.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,573.17 / $3,366.48 / $4,423.85	Professional		$2,573.17	$3,366.48	$4,423.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,999.60 / $7,999.60 / $7,999.60	Facility		$7,999.60	$7,999.60	$7,999.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,641.55 / $3,475.08 / $4,577.60	Professional		$2,641.55	$3,475.08	$4,577.60
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 $2,225.60 / $3,241.45 / $4,569.46	Professional		$2,225.60	$3,241.45	$4,569.46