Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,581.27 / $7,920.26	Facility		$2,747.00	$3,581.27	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.63 / $1,924.30 / $7,446.49	Professional		$1,085.63	$1,924.30	$7,446.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.14 / $3,261.54 / $4,469.46	Professional		$2,017.14	$3,261.54	$4,469.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,335.73 / $3,363.17 / $3,786.60	Professional		$2,335.73	$3,363.17	$3,786.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.40 / $2,515.73 / $4,137.25	Facility		$1,800.40	$2,515.73	$4,137.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,858.20 / $2,586.92 / $4,848.63	Professional		$1,858.20	$2,586.92	$4,848.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,644.44 / $2,499.75 / $3,045.15	Facility		$1,644.44	$2,499.75	$3,045.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,924.30 / $2,835.60 / $3,862.31	Facility		$1,924.30	$2,835.60	$3,862.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,227.13 / $3,456.18 / $4,469.46	Professional		$2,227.13	$3,456.18	$4,469.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,955.32 / $5,955.32 / $5,955.32	Facility		$5,955.32	$5,955.32	$5,955.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,769.48 / $3,729.17 / $4,767.71	Professional		$2,769.48	$3,729.17	$4,767.71
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 $2,128.98 / $2,822.16 / $4,790.72	Professional		$2,128.98	$2,822.16	$4,790.72