Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,747.40 / $7,920.26	Facility		$2,747.00	$3,747.40	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.90 / $2,016.13 / $7,832.74	Professional		$1,395.90	$2,016.13	$7,832.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,129.21 / $3,425.69 / $4,688.75	Professional		$2,129.21	$3,425.69	$4,688.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,442.15 / $3,508.15 / $3,949.82	Professional		$2,442.15	$3,508.15	$3,949.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,016.13 / $3,117.84 / $4,334.68	Facility		$2,016.13	$3,117.84	$4,334.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,379.41 / $2,730.60 / $5,082.03	Professional		$2,379.41	$2,730.60	$5,082.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,165.71 / $2,974.97 / $3,194.56	Facility		$2,165.71	$2,974.97	$3,194.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,016.13 / $3,359.88 / $4,319.78	Facility		$2,016.13	$3,359.88	$4,319.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,713.30 / $3,672.01 / $4,688.75	Professional		$2,713.30	$3,672.01	$4,688.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,205.44 / $8,205.44 / $8,205.44	Facility		$8,205.44	$8,205.44	$8,205.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,907.25 / $3,912.14 / $5,001.63	Professional		$2,907.25	$3,912.14	$5,001.63
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 $2,438.11 / $3,765.53 / $4,982.27	Professional		$2,438.11	$3,765.53	$4,982.27