Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,000.13 / $7,920.26	Facility		$2,747.00	$4,000.13	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,649.57 / $2,127.40 / $8,623.17	Professional		$1,649.57	$2,127.40	$8,623.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,269.17 / $3,523.50 / $4,785.12	Professional		$2,269.17	$3,523.50	$4,785.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,608.17 / $3,706.55 / $4,173.21	Professional		$2,608.17	$3,706.55	$4,173.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,127.40 / $3,317.68 / $4,573.91	Facility		$2,127.40	$3,317.68	$4,573.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,497.98 / $2,934.10 / $5,193.42	Professional		$2,497.98	$2,934.10	$5,193.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,317.36 / $3,087.02 / $3,260.22	Facility		$2,317.36	$3,087.02	$3,260.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,127.40 / $3,545.31 / $4,398.45	Facility		$2,127.40	$3,545.31	$4,398.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,889.79 / $3,746.84 / $4,785.12	Professional		$2,889.79	$3,746.84	$4,785.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,439.67 / $8,439.67 / $8,439.67	Facility		$8,439.67	$8,439.67	$8,439.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,961.99 / $3,992.55 / $5,104.43	Professional		$2,961.99	$3,992.55	$5,104.43
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 $2,464.81 / $3,500.50 / $5,123.74	Professional		$2,464.81	$3,500.50	$5,123.74