Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,715.99 / $7,920.26	Facility		$2,747.00	$3,715.99	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,704.27 / $2,021.12 / $8,036.52	Professional		$1,704.27	$2,021.12	$8,036.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,092.92 / $3,381.48 / $4,592.38	Professional		$2,092.92	$3,381.48	$4,592.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,415.42 / $3,395.94 / $3,865.83	Professional		$2,415.42	$3,395.94	$3,865.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,021.12 / $3,151.94 / $4,575.24	Facility		$2,021.12	$3,151.94	$4,575.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,498.33 / $3,246.52 / $4,966.38	Professional		$2,498.33	$3,246.52	$4,966.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,303.80 / $2,942.43 / $3,189.20	Facility		$2,303.80	$2,942.43	$3,189.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,021.12 / $3,464.02 / $4,345.41	Facility		$2,021.12	$3,464.02	$4,345.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,684.98 / $3,643.38 / $4,786.41	Professional		$2,684.98	$3,643.38	$4,786.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,425.49 / $8,425.49 / $8,425.49	Facility		$8,425.49	$8,425.49	$8,425.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,860.51 / $3,763.12 / $4,957.04	Professional		$2,860.51	$3,763.12	$4,957.04
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 $2,409.16 / $3,407.03 / $4,902.14	Professional		$2,409.16	$3,407.03	$4,902.14