Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,322.71 / $7,920.26	Facility		$2,747.00	$4,322.71	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,628.80 / $2,452.46 / $9,332.37	Professional		$1,628.80	$2,452.46	$9,332.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,463.07 / $3,852.61 / $5,210.93	Professional		$2,463.07	$3,852.61	$5,210.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,828.22 / $4,068.01 / $4,580.17	Professional		$2,828.22	$4,068.01	$4,580.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,452.46 / $3,757.97 / $5,272.79	Facility		$2,452.46	$3,757.97	$5,272.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,737.68 / $3,096.00 / $5,674.04	Professional		$2,737.68	$3,096.00	$5,674.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,496.14 / $3,366.70 / $3,550.33	Facility		$2,496.14	$3,366.70	$3,550.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,452.46 / $3,985.74 / $5,046.37	Facility		$2,452.46	$3,985.74	$5,046.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,138.73 / $4,164.00 / $5,220.92	Professional		$3,138.73	$4,164.00	$5,220.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,128.18 / $9,128.18 / $9,128.18	Facility		$9,128.18	$9,128.18	$9,128.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,251.05 / $4,347.83 / $5,558.65	Professional		$3,251.05	$4,347.83	$5,558.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,729.50 / $4,085.51 / $5,623.78	Professional		$2,729.50	$4,085.51	$5,623.78