Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,016.05 / $7,920.26	Facility		$2,747.00	$4,016.05	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,655.42 / $2,144.48 / $8,692.44	Professional		$1,655.42	$2,144.48	$8,692.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,280.61 / $3,551.80 / $4,803.81	Professional		$2,280.61	$3,551.80	$4,803.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,619.58 / $3,723.69 / $4,192.50	Professional		$2,619.58	$3,723.69	$4,192.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,144.48 / $3,344.33 / $4,610.64	Facility		$2,144.48	$3,344.33	$4,610.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,522.21 / $2,967.32 / $5,215.68	Professional		$2,522.21	$2,967.32	$5,215.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,322.69 / $3,112.56 / $3,272.95	Facility		$2,322.69	$3,112.56	$3,272.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,144.48 / $3,628.49 / $4,453.99	Facility		$2,144.48	$3,628.49	$4,453.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,899.45 / $3,802.38 / $4,803.81	Professional		$2,899.45	$3,802.38	$4,803.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,459.19 / $8,459.19 / $8,459.19	Facility		$8,459.19	$8,459.19	$8,459.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,973.05 / $4,008.14 / $5,124.37	Professional		$2,973.05	$4,008.14	$5,124.37
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 $2,460.51 / $3,905.38 / $5,142.89	Professional		$2,460.51	$3,905.38	$5,142.89