Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,790.42 / $7,920.26	Facility		$2,747.00	$3,790.42	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,481.00 / $2,013.56 / $8,113.96	Professional		$1,481.00	$2,013.56	$8,113.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,140.87 / $3,463.23 / $4,648.43	Professional		$2,140.87	$3,463.23	$4,648.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,472.31 / $3,527.70 / $3,971.84	Professional		$2,472.31	$3,527.70	$3,971.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,013.56 / $3,044.21 / $4,329.14	Facility		$2,013.56	$3,044.21	$4,329.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,289.92 / $2,691.64 / $5,044.89	Professional		$2,289.92	$2,691.64	$5,044.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,052.12 / $2,811.19 / $3,167.09	Facility		$2,052.12	$2,811.19	$3,167.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,013.56 / $3,355.60 / $4,037.36	Facility		$2,013.56	$3,355.60	$4,037.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,646.56 / $3,669.90 / $4,680.06	Professional		$2,646.56	$3,669.90	$4,680.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,584.37 / $7,584.37 / $7,584.37	Facility		$7,584.37	$7,584.37	$7,584.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,893.72 / $3,878.50 / $4,958.62	Professional		$2,893.72	$3,878.50	$4,958.62
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 $2,388.37 / $3,111.45 / $5,005.64	Professional		$2,388.37	$3,111.45	$5,005.64