Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,406.21 / $7,920.26	Facility		$2,747.00	$3,406.21	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,425.30 / $1,809.70 / $5,559.88	Professional		$1,425.30	$1,809.70	$5,559.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,930.08 / $2,997.31 / $4,074.14	Professional		$1,930.08	$2,997.31	$4,074.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,221.90 / $3,159.74 / $3,557.55	Professional		$2,221.90	$3,159.74	$3,557.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,809.70 / $2,822.23 / $3,890.86	Facility		$1,809.70	$2,822.23	$3,890.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,124.34 / $2,498.60 / $4,423.18	Professional		$2,124.34	$2,498.60	$4,423.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,957.86 / $2,631.79 / $2,775.81	Facility		$1,957.86	$2,631.79	$2,775.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,809.70 / $3,062.61 / $3,745.90	Facility		$1,809.70	$3,062.61	$3,745.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,456.26 / $3,200.85 / $4,074.14	Professional		$2,456.26	$3,200.85	$4,074.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,130.09 / $7,130.09 / $7,130.09	Facility		$7,130.09	$7,130.09	$7,130.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,521.62 / $3,399.33 / $4,346.01	Professional		$2,521.62	$3,399.33	$4,346.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,136.42 / $3,339.69 / $4,321.42	Professional		$2,136.42	$3,339.69	$4,321.42