Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,833.64 / $7,920.26	Facility		$2,747.00	$3,833.64	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,415.96 / $2,060.76 / $7,985.18	Professional		$1,415.96	$2,060.76	$7,985.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,163.98 / $3,497.82 / $4,792.01	Professional		$2,163.98	$3,497.82	$4,792.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,498.56 / $3,592.92 / $4,045.26	Professional		$2,498.56	$3,592.92	$4,045.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,060.76 / $3,025.92 / $4,430.63	Facility		$2,060.76	$3,025.92	$4,430.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,408.21 / $2,771.44 / $5,194.47	Professional		$2,408.21	$2,771.44	$5,194.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,179.03 / $3,013.40 / $3,264.91	Facility		$2,179.03	$3,013.40	$3,264.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,060.76 / $3,434.26 / $4,390.12	Facility		$2,060.76	$3,434.26	$4,390.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,728.16 / $3,728.81 / $4,792.01	Professional		$2,728.16	$3,728.81	$4,792.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,226.75 / $8,226.75 / $8,226.75	Facility		$8,226.75	$8,226.75	$8,226.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,969.37 / $3,998.30 / $5,111.78	Professional		$2,969.37	$3,998.30	$5,111.78
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 $2,435.36 / $3,412.56 / $5,136.49	Professional		$2,435.36	$3,412.56	$5,136.49