Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,574.44 / $7,920.26	Facility		$2,747.00	$3,574.44	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,473.92 / $1,901.99 / $7,700.08	Professional		$1,473.92	$1,901.99	$7,700.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,030.35 / $3,150.17 / $4,274.75	Professional		$2,030.35	$3,150.17	$4,274.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,330.01 / $3,314.96 / $3,732.31	Professional		$2,330.01	$3,314.96	$3,732.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,901.99 / $2,966.15 / $4,089.28	Facility		$1,901.99	$2,966.15	$4,089.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,332.89 / $2,678.94 / $4,637.49	Professional		$2,332.89	$2,678.94	$4,637.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,054.28 / $2,763.45 / $2,912.49	Facility		$2,054.28	$2,763.45	$2,912.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,901.99 / $3,222.62 / $3,927.32	Facility		$1,901.99	$3,222.62	$3,927.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,583.06 / $3,361.74 / $4,274.75	Professional		$2,583.06	$3,361.74	$4,274.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,488.52 / $7,488.52 / $7,488.52	Facility		$7,488.52	$7,488.52	$7,488.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,647.09 / $3,566.71 / $4,560.00	Professional		$2,647.09	$3,566.71	$4,560.00
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 $2,241.90 / $3,351.54 / $4,777.45	Professional		$2,241.90	$3,351.54	$4,777.45