Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,885.00 / $7,920.26	Facility		$2,747.00	$3,885.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,449.85 / $2,089.83 / $8,123.08	Professional		$1,449.85	$2,089.83	$8,123.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,209.53 / $3,553.03 / $4,862.81	Professional		$2,209.53	$3,553.03	$4,862.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,532.03 / $3,636.29 / $4,094.10	Professional		$2,532.03	$3,636.29	$4,094.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.83 / $3,186.74 / $4,493.13	Facility		$2,089.83	$3,186.74	$4,493.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,450.04 / $2,812.20 / $5,270.86	Professional		$2,450.04	$2,812.20	$5,270.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,276.17 / $3,084.47 / $3,313.15	Facility		$2,276.17	$3,084.47	$3,313.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.83 / $3,499.58 / $4,493.13	Facility		$2,089.83	$3,499.58	$4,493.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,815.65 / $3,810.87 / $4,862.81	Professional		$2,815.65	$3,810.87	$4,862.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,014.26 / $4,057.37 / $5,187.31	Professional		$3,014.26	$4,057.37	$5,187.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,482.53 / $3,670.81 / $5,214.16	Professional		$2,482.53	$3,670.81	$5,214.16