Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,460.55 / $7,920.26	Facility		$2,747.00	$3,460.55	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.31 / $1,862.65 / $7,232.01	Professional		$1,287.31	$1,862.65	$7,232.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,970.35 / $3,153.34 / $4,323.92	Professional		$1,970.35	$3,153.34	$4,323.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,256.98 / $3,246.24 / $3,654.94	Professional		$2,256.98	$3,246.24	$3,654.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.65 / $2,865.08 / $4,004.70	Facility		$1,862.65	$2,865.08	$4,004.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,193.00 / $2,537.00 / $4,690.53	Professional		$2,193.00	$2,537.00	$4,690.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,052.61 / $2,749.41 / $2,945.99	Facility		$2,052.61	$2,749.41	$2,945.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.65 / $3,104.11 / $3,996.74	Facility		$1,862.65	$3,104.11	$3,996.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,509.76 / $3,388.76 / $4,323.92	Professional		$2,509.76	$3,388.76	$4,323.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,433.51 / $7,433.51 / $7,433.51	Facility		$7,433.51	$7,433.51	$7,433.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,679.68 / $3,607.74 / $4,612.45	Professional		$2,679.68	$3,607.74	$4,612.45
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 $2,217.71 / $3,468.62 / $4,592.29	Professional		$2,217.71	$3,468.62	$4,592.29