Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,389.47 / $7,920.26	Facility		$2,747.00	$4,389.47	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,810.86 / $2,334.46 / $9,465.83	Professional		$1,810.86	$2,334.46	$9,465.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,491.01 / $3,866.44 / $5,251.25	Professional		$2,491.01	$3,866.44	$5,251.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,862.62 / $4,067.18 / $4,579.22	Professional		$2,862.62	$4,067.18	$4,579.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,334.46 / $3,640.59 / $5,019.09	Facility		$2,334.46	$3,640.59	$5,019.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,743.04 / $3,227.10 / $5,700.57	Professional		$2,743.04	$3,227.10	$5,700.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,547.02 / $3,389.63 / $3,577.80	Facility		$2,547.02	$3,389.63	$3,577.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,334.46 / $3,931.18 / $4,830.71	Facility		$2,334.46	$3,931.18	$4,830.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,169.95 / $4,137.09 / $5,251.25	Professional		$3,169.95	$4,137.09	$5,251.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,247.08 / $9,247.08 / $9,247.08	Facility		$9,247.08	$9,247.08	$9,247.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,251.05 / $4,381.47 / $5,601.66	Professional		$3,251.05	$4,381.47	$5,601.66
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 $2,706.60 / $4,247.27 / $5,623.78	Professional		$2,706.60	$4,247.27	$5,623.78