Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,909.57 / $7,920.26	Facility		$2,747.00	$4,909.57	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,853.18 / $2,797.42 / $10,685.60	Professional		$1,853.18	$2,797.42	$10,685.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,803.55 / $4,391.42 / $5,922.89	Professional		$2,803.55	$4,391.42	$5,922.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,208.86 / $4,607.99 / $5,188.14	Professional		$3,208.86	$4,607.99	$5,188.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,797.42 / $4,283.22 / $6,014.45	Facility		$2,797.42	$4,283.22	$6,014.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,124.77 / $3,528.60 / $6,442.18	Professional		$3,124.77	$3,528.60	$6,442.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,830.45 / $3,842.89 / $4,040.56	Facility		$2,830.45	$3,842.89	$4,040.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,797.42 / $4,549.30 / $5,777.60	Facility		$2,797.42	$4,549.30	$5,777.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,572.61 / $4,753.60 / $5,951.09	Professional		$3,572.61	$4,753.60	$5,951.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,436.02 / $10,436.02 / $10,436.02	Facility		$10,436.02	$10,436.02	$10,436.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,700.02 / $4,941.87 / $6,318.13	Professional		$3,700.02	$4,941.87	$6,318.13
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 $3,068.53 / $4,452.64 / $6,400.40	Professional		$3,068.53	$4,452.64	$6,400.40