Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,555.62 / $7,920.26	Facility		$2,747.00	$3,555.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,464.77 / $1,889.13 / $7,660.09	Professional		$1,464.77	$1,889.13	$7,660.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,015.10 / $3,128.86 / $4,253.12	Professional		$2,015.10	$3,128.86	$4,253.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,318.17 / $3,295.75 / $3,710.68	Professional		$2,318.17	$3,295.75	$3,710.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,889.13 / $2,946.10 / $4,061.63	Facility		$1,889.13	$2,946.10	$4,061.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,218.67 / $2,610.19 / $4,615.18	Professional		$2,218.67	$2,610.19	$4,615.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,043.14 / $2,758.21 / $2,897.75	Facility		$2,043.14	$2,758.21	$2,897.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,889.13 / $3,207.33 / $3,906.03	Facility		$1,889.13	$3,207.33	$3,906.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,565.55 / $3,344.76 / $4,253.12	Professional		$2,565.55	$3,344.76	$4,253.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,435.29 / $7,435.29 / $7,435.29	Facility		$7,435.29	$7,435.29	$7,435.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,631.10 / $3,548.66 / $4,536.93	Professional		$2,631.10	$3,548.66	$4,536.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $10,234.00 / $36,803.00	Facility		$2,446.00	$10,234.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,189.19 / $3,109.09 / $4,551.35	Professional		$2,189.19	$3,109.09	$4,551.35