Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,667.05 / $7,920.26	Facility		$2,747.00	$3,667.05	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,352.87 / $1,971.08 / $7,653.96	Professional		$1,352.87	$1,971.08	$7,653.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,069.79 / $3,344.72 / $4,584.51	Professional		$2,069.79	$3,344.72	$4,584.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,390.63 / $3,437.06 / $3,869.78	Professional		$2,390.63	$3,437.06	$3,869.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,971.08 / $3,030.34 / $4,237.82	Facility		$1,971.08	$3,030.34	$4,237.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,312.85 / $2,664.60 / $4,970.60	Professional		$2,312.85	$2,664.60	$4,970.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,082.83 / $2,828.15 / $3,123.54	Facility		$2,082.83	$2,828.15	$3,123.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,971.08 / $3,284.80 / $4,206.85	Facility		$1,971.08	$3,284.80	$4,206.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,637.56 / $3,563.12 / $4,584.51	Professional		$2,637.56	$3,563.12	$4,584.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,930.37 / $7,930.37 / $7,930.37	Facility		$7,930.37	$7,930.37	$7,930.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,840.82 / $3,825.17 / $4,890.43	Professional		$2,840.82	$3,825.17	$4,890.43
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 $2,247.06 / $3,296.69 / $4,914.14	Professional		$2,247.06	$3,296.69	$4,914.14