Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,396.04 / $7,920.26	Facility		$2,747.00	$3,396.04	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,361.08 / $1,800.85 / $7,230.56	Professional		$1,361.08	$1,800.85	$7,230.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,903.22 / $3,092.25 / $4,157.72	Professional		$1,903.22	$3,092.25	$4,157.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,214.79 / $3,168.44 / $3,567.34	Professional		$2,214.79	$3,168.44	$3,567.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.85 / $2,769.83 / $3,871.83	Facility		$1,800.85	$2,769.83	$3,871.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,009.60 / $2,406.90 / $4,511.21	Professional		$2,009.60	$2,406.90	$4,511.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,777.23 / $2,553.91 / $2,832.76	Facility		$1,777.23	$2,553.91	$2,832.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,800.85 / $3,001.12 / $3,817.17	Facility		$1,800.85	$3,001.12	$3,817.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,393.82 / $3,276.78 / $4,181.72	Professional		$2,393.82	$3,276.78	$4,181.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,436.22 / $6,436.22 / $6,436.22	Facility		$6,436.22	$6,436.22	$6,436.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,585.59 / $3,469.07 / $4,435.17	Professional		$2,585.59	$3,469.07	$4,435.17
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 $2,139.84 / $3,071.16 / $4,472.64	Professional		$2,139.84	$3,071.16	$4,472.64