Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,863.05 / $7,920.26	Facility		$2,747.00	$3,863.05	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,692.68 / $2,102.44 / $8,363.51	Professional		$1,692.68	$2,102.44	$8,363.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,269.42 / $3,514.40 / $4,774.31	Professional		$2,269.42	$3,514.40	$4,774.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.26 / $3,530.33 / $4,018.82	Professional		$2,511.26	$3,530.33	$4,018.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,102.44 / $3,278.76 / $4,973.25	Facility		$2,102.44	$3,278.76	$4,973.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,597.60 / $3,431.97 / $5,163.70	Professional		$2,597.60	$3,431.97	$5,163.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,467.56 / $3,059.17 / $3,412.31	Facility		$2,467.56	$3,059.17	$3,412.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,102.44 / $3,503.72 / $4,973.25	Facility		$2,102.44	$3,503.72	$4,973.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,916.83 / $3,787.68 / $4,979.02	Professional		$2,916.83	$3,787.68	$4,979.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,076.74 / $9,076.74 / $9,076.74	Facility		$9,076.74	$9,076.74	$9,076.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,973.05 / $3,911.19 / $5,152.08	Professional		$2,973.05	$3,911.19	$5,152.08
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 $2,507.44 / $3,922.37 / $5,095.05	Professional		$2,507.44	$3,922.37	$5,095.05