Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,551.11 / $8,798.16 / $21,735.00	Facility		$3,551.11	$8,798.16	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,418.66 / $2,699.18 / $7,028.00	Professional		$1,418.66	$2,699.18	$7,028.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,102.76 / $3,881.32 / $5,174.54	Professional		$2,102.76	$3,881.32	$5,174.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,797.01 / $4,040.47 / $4,593.64	Professional		$2,797.01	$4,040.47	$4,593.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,052.89 / $3,455.49 / $5,803.24	Facility		$2,052.89	$3,455.49	$5,803.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.60 / $2,889.68 / $5,575.38	Professional		$2,454.60	$2,889.68	$5,575.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,014.81 / $2,885.89 / $3,525.54	Facility		$2,014.81	$2,885.89	$3,525.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,699.18 / $3,909.66 / $9,325.04	Facility		$2,699.18	$3,909.66	$9,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,758.08 / $4,112.93 / $5,174.54	Professional		$2,758.08	$4,112.93	$5,174.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,252.28 / $4,317.47 / $5,519.84	Professional		$3,252.28	$4,317.47	$5,519.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $22,956.00	Facility		$2,912.00	$16,268.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,639.93 / $3,754.96 / $5,851.18	Professional		$2,639.93	$3,754.96	$5,851.18