Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,206.38 / $7,920.26	Facility		$2,747.00	$4,206.38	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.40 / $2,288.67 / $9,104.58	Professional		$1,698.40	$2,288.67	$9,104.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,372.11 / $3,744.11 / $5,200.10	Professional		$2,372.11	$3,744.11	$5,200.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,733.21 / $3,841.04 / $4,372.51	Professional		$2,733.21	$3,841.04	$4,372.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,288.67 / $3,516.54 / $4,920.66	Facility		$2,288.67	$3,516.54	$4,920.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,827.64 / $3,735.91 / $5,621.00	Professional		$2,827.64	$3,735.91	$5,621.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,563.96 / $3,329.55 / $3,545.64	Facility		$2,563.96	$3,329.55	$3,545.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,288.67 / $3,814.09 / $4,920.66	Facility		$2,288.67	$3,814.09	$4,920.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,042.61 / $4,085.88 / $5,422.95	Professional		$3,042.61	$4,085.88	$5,422.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,484.87 / $9,484.87 / $9,484.87	Facility		$9,484.87	$9,484.87	$9,484.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,236.91 / $4,258.29 / $5,609.31	Professional		$3,236.91	$4,258.29	$5,609.31
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 $2,731.05 / $3,688.04 / $5,547.19	Professional		$2,731.05	$3,688.04	$5,547.19