Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,968.03 / $7,920.26	Facility		$2,747.00	$3,968.03	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,465.11 / $2,132.75 / $8,264.51	Professional		$1,465.11	$2,132.75	$8,264.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,240.90 / $3,618.54 / $4,958.20	Professional		$2,240.90	$3,618.54	$4,958.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,586.19 / $3,720.09 / $4,188.45	Professional		$2,586.19	$3,720.09	$4,188.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,132.75 / $3,272.44 / $4,585.41	Facility		$2,132.75	$3,272.44	$4,585.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,493.90 / $2,889.18 / $5,373.79	Professional		$2,493.90	$2,889.18	$5,373.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,101.52 / $3,054.35 / $3,378.14	Facility		$2,101.52	$3,054.35	$3,378.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,132.75 / $3,554.23 / $4,544.70	Facility		$2,132.75	$3,554.23	$4,544.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,855.61 / $3,856.63 / $4,958.20	Professional		$2,855.61	$3,856.63	$4,958.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,469.85 / $8,469.85 / $8,469.85	Facility		$8,469.85	$8,469.85	$8,469.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,072.69 / $4,136.96 / $5,289.06	Professional		$3,072.69	$4,136.96	$5,289.06
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 $2,519.10 / $3,878.45 / $5,315.22	Professional		$2,519.10	$3,878.45	$5,315.22