Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,696.46 / $7,920.26	Facility		$2,747.00	$4,696.46	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,753.94 / $2,528.14 / $9,829.82	Professional		$1,753.94	$2,528.14	$9,829.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,668.29 / $4,301.62 / $5,882.58	Professional		$2,668.29	$4,301.62	$5,882.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,058.57 / $4,389.50 / $4,942.14	Professional		$3,058.57	$4,389.50	$4,942.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,528.14 / $3,660.91 / $5,435.50	Facility		$2,528.14	$3,660.91	$5,435.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,810.40 / $3,399.22 / $6,371.10	Professional		$2,810.40	$3,399.22	$6,371.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,404.76 / $3,479.05 / $4,007.94	Facility		$2,404.76	$3,479.05	$4,007.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,528.14 / $3,942.63 / $5,091.97	Facility		$2,528.14	$3,942.63	$5,091.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,146.50 / $4,569.35 / $5,882.58	Professional		$3,146.50	$4,569.35	$5,882.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,390.00 / $8,390.00 / $8,390.00	Facility		$8,390.00	$8,390.00	$8,390.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,649.59 / $4,908.22 / $6,275.12	Professional		$3,649.59	$4,908.22	$6,275.12
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 $3,065.59 / $4,436.89 / $6,586.75	Professional		$3,065.59	$4,436.89	$6,586.75