Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,423.66 / $7,920.26	Facility		$2,747.00	$4,423.66	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,831.62 / $2,356.04 / $9,570.81	Professional		$1,831.62	$2,356.04	$9,570.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,517.44 / $3,909.29 / $5,292.55	Professional		$2,517.44	$3,909.29	$5,292.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,883.88 / $4,096.10 / $4,611.79	Professional		$2,883.88	$4,096.10	$4,611.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,356.04 / $3,674.24 / $5,065.49	Facility		$2,356.04	$3,674.24	$5,065.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,675.97 / $3,276.65 / $5,743.02	Professional		$2,675.97	$3,276.65	$5,743.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,540.84 / $3,426.31 / $3,605.94	Facility		$2,540.84	$3,426.31	$3,605.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,356.04 / $4,002.12 / $4,881.60	Facility		$2,356.04	$4,002.12	$4,881.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,206.78 / $4,176.71 / $5,297.72	Professional		$3,206.78	$4,176.71	$5,297.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,305.66 / $9,305.66 / $9,305.66	Facility		$9,305.66	$9,305.66	$9,305.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,284.87 / $4,415.93 / $5,645.72	Professional		$3,284.87	$4,415.93	$5,645.72
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 $2,790.99 / $3,975.56 / $5,629.43	Professional		$2,790.99	$3,975.56	$5,629.43