Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,058.63 / $7,920.26	Facility		$2,747.00	$4,058.63	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.39 / $2,179.94 / $5,212.56	Professional		$1,401.39	$2,179.94	$5,212.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,289.66 / $3,694.35 / $5,068.34	Professional		$2,289.66	$3,694.35	$5,068.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,645.80 / $3,807.83 / $4,287.22	Professional		$2,645.80	$3,807.83	$4,287.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,179.94 / $3,355.87 / $4,686.87	Facility		$2,179.94	$3,355.87	$4,686.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,558.59 / $2,949.41 / $5,494.75	Professional		$2,558.59	$2,949.41	$5,494.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,298.59 / $3,120.00 / $3,453.18	Facility		$2,298.59	$3,120.00	$3,453.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,179.94 / $3,632.87 / $4,644.66	Facility		$2,179.94	$3,632.87	$4,644.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,917.75 / $3,935.95 / $5,068.34	Professional		$2,917.75	$3,935.95	$5,068.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,324.33 / $8,324.33 / $8,324.33	Facility		$8,324.33	$8,324.33	$8,324.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,139.73 / $4,228.85 / $5,406.55	Professional		$3,139.73	$4,228.85	$5,406.55
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 $2,598.44 / $3,398.51 / $5,380.67	Professional		$2,598.44	$3,398.51	$5,380.67