Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,850.35 / $7,920.26	Facility		$2,747.00	$3,850.35	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,635.57 / $2,162.05 / $8,395.62	Professional		$1,635.57	$2,162.05	$8,395.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,250.33 / $3,566.57 / $4,751.68	Professional		$2,250.33	$3,566.57	$4,751.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,497.63 / $3,518.87 / $3,961.90	Professional		$2,497.63	$3,518.87	$3,961.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,100.89 / $3,453.84 / $4,648.41	Facility		$2,100.89	$3,453.84	$4,648.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,579.98 / $3,200.16 / $5,128.71	Professional		$2,579.98	$3,200.16	$5,128.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,281.23 / $3,042.56 / $3,747.31	Facility		$2,281.23	$3,042.56	$3,747.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,162.05 / $3,781.58 / $4,633.06	Facility		$2,162.05	$3,781.58	$4,633.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,867.63 / $3,790.24 / $4,792.46	Professional		$2,867.63	$3,790.24	$4,792.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,879.78 / $8,879.78 / $8,879.78	Facility		$8,879.78	$8,879.78	$8,879.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,962.60 / $3,964.66 / $5,068.77	Professional		$2,962.60	$3,964.66	$5,068.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,507.44 / $3,995.03 / $5,124.81	Professional		$2,507.44	$3,995.03	$5,124.81