Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,704.44 / $7,920.26	Facility		$2,747.00	$3,704.44	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.54 / $1,948.83 / $7,801.32	Professional		$1,461.54	$1,948.83	$7,801.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,832.96 / $5,832.96 / $6,988.55	Professional		$5,832.96	$5,832.96	$6,988.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,425.09 / $3,488.96 / $3,928.22	Professional		$2,425.09	$3,488.96	$3,928.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,948.83 / $2,952.93 / $4,189.97	Facility		$1,948.83	$2,952.93	$4,189.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,250.83 / $2,625.96 / $4,921.80	Professional		$2,250.83	$2,625.96	$4,921.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,877.85 / $2,789.13 / $3,078.65	Facility		$1,877.85	$2,789.13	$3,078.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,948.83 / $3,247.73 / $3,902.64	Facility		$1,948.83	$3,247.73	$3,902.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,709.36 / $3,610.15 / $4,512.68	Professional		$2,709.36	$3,610.15	$4,512.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,438.86 / $7,438.86 / $7,438.86	Facility		$7,438.86	$7,438.86	$7,438.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,797.77 / $3,770.20 / $4,820.16	Professional		$2,797.77	$3,770.20	$4,820.16
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 $2,273.44 / $3,045.08 / $4,839.68	Professional		$2,273.44	$3,045.08	$4,839.68