Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,730.26 / $12,274.80 / $21,735.00	Facility		$2,730.26	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.50 / $1,438.86 / $6,549.75	Professional		$1,209.50	$1,438.86	$6,549.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,685.75 / $2,710.96 / $3,662.10	Professional		$1,685.75	$2,710.96	$3,662.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,964.61 / $2,799.65 / $3,152.12	Professional		$1,964.61	$2,799.65	$3,152.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,438.86 / $2,397.86 / $3,470.07	Facility		$1,438.86	$2,397.86	$3,470.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,915.12 / $2,188.56 / $3,945.74	Professional		$1,915.12	$2,188.56	$3,945.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,586.38 / $2,337.69 / $2,495.08	Facility		$1,586.38	$2,337.69	$2,495.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,438.86 / $2,670.18 / $3,183.55	Facility		$1,438.86	$2,670.18	$3,183.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,148.17 / $2,925.15 / $3,673.79	Professional		$2,148.17	$2,925.15	$3,673.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,288.92 / $6,288.92 / $6,288.92	Facility		$6,288.92	$6,288.92	$6,288.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,281.76 / $3,055.54 / $3,906.48	Professional		$2,281.76	$3,055.54	$3,906.48
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 $1,889.69 / $2,718.93 / $3,910.36	Professional		$1,889.69	$2,718.93	$3,910.36