Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,480.63 / $7,920.26	Facility		$2,747.00	$4,480.63	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,633.96 / $2,408.92 / $5,754.54	Professional		$1,633.96	$2,408.92	$5,754.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,236.01 / $3,454.55 / $5,605.26	Professional		$2,236.01	$3,454.55	$5,605.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,360.88 / $3,951.62 / $4,722.89	Professional		$3,360.88	$3,951.62	$4,722.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,340.92 / $3,283.20 / $4,476.95	Facility		$2,340.92	$3,283.20	$4,476.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,823.36 / $3,314.20 / $4,999.08	Professional		$2,823.36	$3,314.20	$4,999.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,581.42 / $3,556.18 / $3,819.00	Facility		$2,581.42	$3,556.18	$3,819.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,340.92 / $3,290.96 / $4,846.55	Facility		$2,340.92	$3,290.96	$4,846.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,213.32 / $3,787.69 / $5,218.75	Professional		$3,213.32	$3,787.69	$5,218.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,724.45 / $9,724.45 / $9,724.45	Facility		$9,724.45	$9,724.45	$9,724.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,474.30 / $4,448.85 / $5,979.30	Professional		$3,474.30	$4,448.85	$5,979.30
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 $2,553.60 / $3,717.73 / $5,852.37	Professional		$2,553.60	$3,717.73	$5,852.37