Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,589.97 / $7,920.26	Facility		$2,747.00	$4,589.97	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,718.35 / $2,468.39 / $9,608.51	Professional		$1,718.35	$2,468.39	$9,608.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,615.71 / $4,199.30 / $5,749.82	Professional		$2,615.71	$4,199.30	$5,749.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,990.10 / $4,291.41 / $4,831.70	Professional		$2,990.10	$4,291.41	$4,831.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,468.39 / $3,818.79 / $5,307.04	Facility		$2,468.39	$3,818.79	$5,307.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,923.80 / $3,364.18 / $6,228.92	Professional		$2,923.80	$3,364.18	$6,228.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,748.08 / $3,571.75 / $3,917.49	Facility		$2,748.08	$3,571.75	$3,917.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,468.39 / $4,113.57 / $5,306.46	Facility		$2,468.39	$4,113.57	$5,306.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,329.48 / $4,506.34 / $5,749.82	Professional		$3,329.48	$4,506.34	$5,749.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,042.10 / $10,042.10 / $10,042.10	Facility		$10,042.10	$10,042.10	$10,042.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,563.49 / $4,797.46 / $6,133.50	Professional		$3,563.49	$4,797.46	$6,133.50
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 $2,940.44 / $4,129.49 / $6,106.86	Professional		$2,940.44	$4,129.49	$6,106.86