Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,766.63 / $7,920.26	Facility		$2,747.00	$3,766.63	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,400.01 / $1,764.61 / $7,853.26	Professional		$1,400.01	$1,764.61	$7,853.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,084.89 / $3,335.15 / $4,534.35	Professional		$2,084.89	$3,335.15	$4,534.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,442.42 / $3,500.40 / $3,941.10	Professional		$2,442.42	$3,500.40	$3,941.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,764.61 / $2,924.65 / $4,001.37	Facility		$1,764.61	$2,924.65	$4,001.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,275.19 / $2,611.25 / $4,894.22	Professional		$2,275.19	$2,611.25	$4,894.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,043.30 / $2,834.82 / $3,089.37	Facility		$2,043.30	$2,834.82	$3,089.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,764.61 / $3,117.76 / $3,914.65	Facility		$1,764.61	$3,117.76	$3,914.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,613.73 / $3,534.18 / $4,534.35	Professional		$2,613.73	$3,534.18	$4,534.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,752.93 / $7,752.93 / $7,752.93	Facility		$7,752.93	$7,752.93	$7,752.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,805.77 / $3,783.33 / $4,836.93	Professional		$2,805.77	$3,783.33	$4,836.93
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 $2,298.62 / $3,211.26 / $4,853.49	Professional		$2,298.62	$3,211.26	$4,853.49