Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,621.57 / $7,920.26	Facility		$2,747.00	$4,621.57	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,904.68 / $2,458.08 / $9,961.79	Professional		$1,904.68	$2,458.08	$9,961.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,621.19 / $4,071.20 / $5,528.56	Professional		$2,621.19	$4,071.20	$5,528.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,013.56 / $4,283.06 / $4,822.30	Professional		$3,013.56	$4,283.06	$4,822.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,458.08 / $3,833.38 / $5,284.87	Facility		$2,458.08	$3,833.38	$5,284.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,787.66 / $3,395.12 / $6,000.83	Professional		$2,787.66	$3,395.12	$6,000.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,600.10 / $3,577.61 / $3,766.74	Facility		$2,600.10	$3,577.61	$3,766.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,458.08 / $4,169.81 / $5,080.62	Facility		$2,458.08	$4,169.81	$5,080.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,337.81 / $4,349.72 / $5,528.56	Professional		$3,337.81	$4,349.72	$5,528.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,672.96 / $9,672.96 / $9,672.96	Facility		$9,672.96	$9,672.96	$9,672.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,420.80 / $4,612.85 / $5,897.48	Professional		$3,420.80	$4,612.85	$5,897.48
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 $2,847.53 / $4,567.00 / $5,862.36	Professional		$2,847.53	$4,567.00	$5,862.36