Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,065.31 / $7,920.26	Facility		$2,747.00	$4,065.31	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,485.07 / $2,183.12 / $8,435.67	Professional		$1,485.07	$2,183.12	$8,435.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,279.07 / $3,695.09 / $5,071.29	Professional		$2,279.07	$3,695.09	$5,071.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,650.49 / $3,818.46 / $4,299.20	Professional		$2,650.49	$3,818.46	$4,299.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,183.12 / $2,828.31 / $4,693.71	Facility		$2,183.12	$2,828.31	$4,693.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,093.40 / $2,933.91 / $5,498.99	Professional		$2,093.40	$2,933.91	$5,498.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,832.86 / $2,836.35 / $3,455.19	Facility		$1,832.86	$2,836.35	$3,455.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,183.12 / $3,140.72 / $4,380.60	Facility		$2,183.12	$3,140.72	$4,380.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,506.12 / $3,915.60 / $5,071.29	Professional		$2,506.12	$3,915.60	$5,071.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,713.07 / $6,713.07 / $6,713.07	Facility		$6,713.07	$6,713.07	$6,713.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,139.11 / $4,231.32 / $5,409.69	Professional		$3,139.11	$4,231.32	$5,409.69
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 $2,468.41 / $3,242.81 / $5,430.13	Professional		$2,468.41	$3,242.81	$5,430.13