Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,504.13 / $7,920.26	Facility		$2,747.00	$3,504.13	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,309.42 / $1,641.91 / $7,320.60	Professional		$1,309.42	$1,641.91	$7,320.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,947.00 / $3,103.29 / $4,219.68	Professional		$1,947.00	$3,103.29	$4,219.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,272.16 / $3,253.76 / $3,663.40	Professional		$2,272.16	$3,253.76	$3,663.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,641.91 / $2,736.24 / $3,650.57	Facility		$1,641.91	$2,736.24	$3,650.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,082.46 / $2,429.54 / $4,553.66	Professional		$2,082.46	$2,429.54	$4,553.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,861.73 / $2,638.69 / $2,874.97	Facility		$1,861.73	$2,638.69	$2,874.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,641.91 / $2,909.86 / $3,645.21	Facility		$1,641.91	$2,909.86	$3,645.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,430.87 / $3,288.48 / $4,219.68	Professional		$2,430.87	$3,288.48	$4,219.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,401.14 / $8,924.50 / $21,189.66	Facility		$4,401.14	$8,924.50	$21,189.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,613.88 / $3,520.77 / $4,501.26	Professional		$2,613.88	$3,520.77	$4,501.26
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 $2,163.25 / $3,375.21 / $4,521.58	Professional		$2,163.25	$3,375.21	$4,521.58