Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,696.91 / $7,920.26	Facility		$2,747.00	$3,696.91	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,354.79 / $1,987.04 / $7,698.63	Professional		$1,354.79	$1,987.04	$7,698.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,086.50 / $3,372.69 / $4,618.93	Professional		$2,086.50	$3,372.69	$4,618.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,408.87 / $3,465.03 / $3,901.27	Professional		$2,408.87	$3,465.03	$3,901.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,987.04 / $3,034.08 / $4,272.14	Facility		$1,987.04	$3,034.08	$4,272.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,321.01 / $2,691.50 / $5,005.64	Professional		$2,321.01	$2,691.50	$5,005.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,156.38 / $2,930.58 / $3,146.99	Facility		$2,156.38	$2,930.58	$3,146.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,987.04 / $3,311.40 / $4,229.07	Facility		$1,987.04	$3,311.40	$4,229.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,658.86 / $3,590.74 / $4,618.93	Professional		$2,658.86	$3,590.74	$4,618.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,978.29 / $7,978.29 / $7,978.29	Facility		$7,978.29	$7,978.29	$7,978.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,861.73 / $3,853.89 / $4,927.14	Professional		$2,861.73	$3,853.89	$4,927.14
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 $2,368.37 / $3,621.37 / $4,904.26	Professional		$2,368.37	$3,621.37	$4,904.26