Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,375.80 / $12,274.80 / $21,735.00	Facility		$2,375.80	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.29 / $1,411.58 / $5,706.18	Professional		$1,092.29	$1,411.58	$5,706.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,499.48 / $2,337.92 / $3,177.30	Professional		$1,499.48	$2,337.92	$3,177.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,734.48 / $2,471.44 / $2,782.60	Professional		$1,734.48	$2,471.44	$2,782.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,411.58 / $2,201.36 / $3,034.90	Facility		$1,411.58	$2,201.36	$3,034.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,649.51 / $1,967.94 / $3,451.31	Professional		$1,649.51	$1,967.94	$3,451.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,566.04 / $2,056.90 / $2,273.31	Facility		$1,566.04	$2,056.90	$2,273.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,411.58 / $2,352.40 / $2,900.83	Facility		$1,411.58	$2,352.40	$2,900.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,910.81 / $2,528.80 / $3,177.30	Professional		$1,910.81	$2,528.80	$3,177.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,671.43 / $5,671.43 / $5,671.43	Facility		$5,671.43	$5,671.43	$5,671.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,965.02 / $2,651.04 / $3,389.32	Professional		$1,965.02	$2,651.04	$3,389.32
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 $1,626.26 / $2,491.10 / $3,399.17	Professional		$1,626.26	$2,491.10	$3,399.17