Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,532.72 / $8,878.56 / $20,400.00	Facility		$3,532.72	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.08 / $1,781.73 / $5,588.33	Professional		$1,192.08	$1,781.73	$5,588.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,120.36 / $3,329.14 / $5,240.43	Professional		$2,120.36	$3,329.14	$5,240.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,845.81 / $3,518.45 / $4,242.78	Professional		$2,845.81	$3,518.45	$4,242.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,097.04 / $2,664.48 / $4,473.42	Facility		$2,097.04	$2,664.48	$4,473.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,651.76 / $3,043.16 / $5,400.27	Professional		$2,651.76	$3,043.16	$5,400.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,205.98 / $3,063.24 / $3,570.43	Facility		$2,205.98	$3,063.24	$3,570.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,134.36 / $3,397.00 / $7,339.00	Facility		$2,134.36	$3,397.00	$7,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,801.99 / $3,426.24 / $4,958.05	Professional		$2,801.99	$3,426.24	$4,958.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,115.96 / $14,408.62	Facility		$8,391.79	$11,115.96	$14,408.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,267.04 / $3,824.32 / $5,661.53	Professional		$3,267.04	$3,824.32	$5,661.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,326.42 / $3,248.92 / $5,330.27	Professional		$2,326.42	$3,248.92	$5,330.27