Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,028.67 / $7,920.26	Facility		$2,747.00	$4,028.67	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,455.43 / $2,391.10 / $8,564.70	Professional		$1,455.43	$2,391.10	$8,564.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,253.46 / $3,595.13 / $4,817.58	Professional		$2,253.46	$3,595.13	$4,817.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,602.27 / $3,741.06 / $4,228.84	Professional		$2,602.27	$3,741.06	$4,228.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,209.27 / $3,514.08 / $5,140.87	Facility		$2,209.27	$3,514.08	$5,140.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,562.23 / $2,863.20 / $5,180.68	Professional		$2,562.23	$2,863.20	$5,180.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,300.34 / $3,125.55 / $3,282.33	Facility		$2,300.34	$3,125.55	$3,282.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,391.10 / $3,730.32 / $4,691.87	Facility		$2,391.10	$3,730.32	$4,691.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,871.62 / $3,831.83 / $4,834.88	Professional		$2,871.62	$3,831.83	$4,834.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,551.48 / $8,551.48 / $8,551.48	Facility		$8,551.48	$8,551.48	$8,551.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,010.57 / $4,019.63 / $5,139.05	Professional		$3,010.57	$4,019.63	$5,139.05
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 $2,472.46 / $3,607.20 / $5,207.79	Professional		$2,472.46	$3,607.20	$5,207.79