Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,292.64 / $7,920.26	Facility		$2,747.00	$4,292.64	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,793.44 / $2,479.46 / $9,260.66	Professional		$1,793.44	$2,479.46	$9,260.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,437.58 / $3,781.62 / $5,135.21	Professional		$2,437.58	$3,781.62	$5,135.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,800.08 / $3,979.00 / $4,479.95	Professional		$2,800.08	$3,979.00	$4,479.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,479.46 / $3,722.88 / $5,330.84	Facility		$2,479.46	$3,722.88	$5,330.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,683.48 / $3,157.04 / $5,575.38	Professional		$2,683.48	$3,157.04	$5,575.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,478.69 / $3,332.64 / $3,498.74	Facility		$2,478.69	$3,332.64	$3,498.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,479.46 / $3,878.36 / $4,726.10	Facility		$2,479.46	$3,878.36	$4,726.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,100.51 / $4,045.73 / $5,135.21	Professional		$3,100.51	$4,045.73	$5,135.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,039.45 / $9,039.45 / $9,039.45	Facility		$9,039.45	$9,039.45	$9,039.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,179.71 / $4,284.64 / $5,477.88	Professional		$3,179.71	$4,284.64	$5,477.88
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 $2,749.68 / $3,760.51 / $5,449.19	Professional		$2,749.68	$3,760.51	$5,449.19