Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,302.39 / $7,920.26	Facility		$2,747.00	$4,302.39	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,600.45 / $2,313.88 / $8,988.54	Professional		$1,600.45	$2,313.88	$8,988.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,444.76 / $3,926.95 / $5,381.05	Professional		$2,444.76	$3,926.95	$5,381.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,803.38 / $4,029.27 / $4,536.55	Professional		$2,803.38	$4,029.27	$4,536.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,313.88 / $3,528.26 / $5,014.89	Facility		$2,313.88	$3,528.26	$5,014.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,727.75 / $3,111.08 / $5,831.05	Professional		$2,727.75	$3,111.08	$5,831.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,291.73 / $3,294.52 / $3,666.24	Facility		$2,291.73	$3,294.52	$3,666.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,313.88 / $3,867.88 / $4,974.84	Facility		$2,313.88	$3,867.88	$4,974.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,050.38 / $4,161.30 / $5,381.05	Professional		$3,050.38	$4,161.30	$5,381.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,751.18	Facility		$7,382.73	$9,721.75	$12,751.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,333.46 / $4,489.78 / $5,740.13	Professional		$3,333.46	$4,489.78	$5,740.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,743.29 / $3,988.96 / $5,712.69	Professional		$2,743.29	$3,988.96	$5,712.69