Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,059.73 / $7,920.26	Facility		$2,747.00	$4,059.73	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,601.40 / $1,924.70 / $9,083.46	Professional		$1,601.40	$1,924.70	$9,083.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,282.53 / $3,630.32 / $4,898.21	Professional		$2,282.53	$3,630.32	$4,898.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,626.92 / $3,743.54 / $4,214.85	Professional		$2,626.92	$3,743.54	$4,214.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,924.70 / $3,207.51 / $4,655.77	Facility		$1,924.70	$3,207.51	$4,655.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,558.16 / $2,995.71 / $5,276.18	Professional		$2,558.16	$2,995.71	$5,276.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,406.39 / $3,200.06 / $3,384.84	Facility		$2,406.39	$3,200.06	$3,384.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,924.70 / $3,724.38 / $4,262.18	Facility		$1,924.70	$3,724.38	$4,262.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,908.66 / $3,935.74 / $4,919.67	Professional		$2,908.66	$3,935.74	$4,919.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,886.86 / $8,886.86 / $8,886.86	Facility		$8,886.86	$8,886.86	$8,886.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,054.86 / $4,086.91 / $5,225.07	Professional		$3,054.86	$4,086.91	$5,225.07
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 $2,617.16 / $3,683.85 / $5,284.39	Professional		$2,617.16	$3,683.85	$5,284.39