Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,839.69 / $7,920.26	Facility		$2,747.00	$3,839.69	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,426.89 / $2,063.77 / $8,015.06	Professional		$1,426.89	$2,063.77	$8,015.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,179.06 / $3,502.24 / $4,801.84	Professional		$2,179.06	$3,502.24	$4,801.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,502.66 / $3,597.11 / $4,049.99	Professional		$2,502.66	$3,597.11	$4,049.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,063.77 / $3,187.55 / $4,437.10	Facility		$2,063.77	$3,187.55	$4,437.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,424.54 / $2,804.86 / $5,205.10	Professional		$2,424.54	$2,804.86	$5,205.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,284.90 / $3,018.24 / $3,271.61	Facility		$2,284.90	$3,018.24	$3,271.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,063.77 / $3,439.27 / $4,420.67	Facility		$2,063.77	$3,439.27	$4,420.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,776.81 / $3,754.06 / $4,801.84	Professional		$2,776.81	$3,754.06	$4,801.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,331.42 / $8,331.42 / $8,331.42	Facility		$8,331.42	$8,331.42	$8,331.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,974.29 / $4,006.50 / $5,122.27	Professional		$2,974.29	$4,006.50	$5,122.27
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 $2,446.48 / $3,437.36 / $5,145.00	Professional		$2,446.48	$3,437.36	$5,145.00