Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,923.46 / $7,920.26	Facility		$2,747.00	$3,923.46	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,636.23 / $2,264.56 / $8,456.54	Professional		$1,636.23	$2,264.56	$8,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,225.36 / $3,453.86 / $4,692.68	Professional		$2,225.36	$3,453.86	$4,692.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,558.50 / $3,637.47 / $4,095.42	Professional		$2,558.50	$3,637.47	$4,095.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,264.56 / $3,400.25 / $4,868.80	Facility		$2,264.56	$3,400.25	$4,868.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,449.50 / $2,881.45 / $5,093.71	Professional		$2,449.50	$2,881.45	$5,093.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,267.71 / $3,039.85 / $3,202.60	Facility		$2,267.71	$3,039.85	$3,202.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,264.56 / $3,536.16 / $4,313.30	Facility		$2,264.56	$3,536.16	$4,313.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,831.82 / $3,691.61 / $4,692.68	Professional		$2,831.82	$3,691.61	$4,692.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,212.52 / $8,212.52 / $8,212.52	Facility		$8,212.52	$8,212.52	$8,212.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,904.79 / $3,915.43 / $5,005.83	Professional		$2,904.79	$3,915.43	$5,005.83
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 $2,416.96 / $3,431.36 / $5,024.79	Professional		$2,416.96	$3,431.36	$5,024.79