Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,542.10 / $7,920.26	Facility		$2,747.00	$3,542.10	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,501.35 / $1,880.99 / $7,572.89	Professional		$1,501.35	$1,880.99	$7,572.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,997.98 / $3,235.04 / $4,342.60	Professional		$1,997.98	$3,235.04	$4,342.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,310.15 / $3,297.94 / $3,713.15	Professional		$2,310.15	$3,297.94	$3,713.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,880.99 / $2,933.40 / $4,044.13	Facility		$1,880.99	$2,933.40	$4,044.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,208.30 / $2,651.67 / $4,712.80	Professional		$2,208.30	$2,651.67	$4,712.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,031.02 / $2,808.64 / $2,998.80	Facility		$2,031.02	$2,808.64	$2,998.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,880.99 / $3,186.38 / $3,796.81	Facility		$1,880.99	$3,186.38	$3,796.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,546.05 / $3,454.24 / $4,369.72	Professional		$2,546.05	$3,454.24	$4,369.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,311.09 / $7,311.09 / $7,311.09	Facility		$7,311.09	$7,311.09	$7,311.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,701.83 / $3,623.33 / $4,632.38	Professional		$2,701.83	$3,623.33	$4,632.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,236.03 / $3,195.94 / $4,673.68	Professional		$2,236.03	$3,195.94	$4,673.68