Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,116.68 / $7,920.26	Facility		$2,747.00	$4,116.68	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,681.88 / $2,239.71 / $8,911.95	Professional		$1,681.88	$2,239.71	$8,911.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,321.09 / $3,665.27 / $5,088.99	Professional		$2,321.09	$3,665.27	$5,088.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,675.09 / $3,759.64 / $4,279.85	Professional		$2,675.09	$3,759.64	$4,279.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,239.71 / $3,477.04 / $4,815.39	Facility		$2,239.71	$3,477.04	$4,815.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,767.33 / $3,656.23 / $5,501.12	Professional		$2,767.33	$3,656.23	$5,501.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,560.10 / $3,258.75 / $3,540.28	Facility		$2,560.10	$3,258.75	$3,540.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,239.71 / $3,764.14 / $4,815.39	Facility		$2,239.71	$3,764.14	$4,815.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,977.33 / $4,017.94 / $5,307.59	Professional		$2,977.33	$4,017.94	$5,307.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,291.44 / $9,291.44 / $9,291.44	Facility		$9,291.44	$9,291.44	$9,291.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,168.63 / $4,168.47 / $5,491.00	Professional		$3,168.63	$4,168.47	$5,491.00
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 $2,672.81 / $3,911.04 / $5,430.21	Professional		$2,672.81	$3,911.04	$5,430.21