Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,418.20 / $7,920.26	Facility		$2,747.00	$3,418.20	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.00 / $1,893.27 / $7,198.09	Professional		$1,260.00	$1,893.27	$7,198.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,880.42 / $3,064.28 / $4,140.03	Professional		$1,880.42	$3,064.28	$4,140.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,234.42 / $3,200.33 / $3,603.25	Professional		$2,234.42	$3,200.33	$3,603.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,893.27 / $2,865.47 / $4,070.53	Facility		$1,893.27	$2,865.47	$4,070.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,116.50 / $2,395.80 / $4,459.22	Professional		$2,116.50	$2,395.80	$4,459.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,934.61 / $2,626.55 / $2,820.70	Facility		$1,934.61	$2,626.55	$2,820.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,893.27 / $3,081.38 / $3,867.16	Facility		$1,893.27	$3,081.38	$3,867.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,396.25 / $3,247.14 / $4,152.59	Professional		$2,396.25	$3,247.14	$4,152.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,114.08 / $7,114.08 / $7,114.08	Facility		$7,114.08	$7,114.08	$7,114.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,570.21 / $3,454.30 / $4,416.29	Professional		$2,570.21	$3,454.30	$4,416.29
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 $2,126.36 / $2,962.86 / $4,446.05	Professional		$2,126.36	$2,962.86	$4,446.05