Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,954.37 / $7,920.26	Facility		$2,747.00	$4,954.37	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,890.91 / $3,030.44 / $10,590.70	Professional		$1,890.91	$3,030.44	$10,590.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,787.91 / $4,400.35 / $5,931.74	Professional		$2,787.91	$4,400.35	$5,931.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,209.66 / $4,609.68 / $5,197.20	Professional		$3,209.66	$4,609.68	$5,197.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,321.21 / $4,333.53 / $6,515.45	Facility		$2,321.21	$4,333.53	$6,515.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,151.80 / $3,495.00 / $6,397.61	Professional		$3,151.80	$3,495.00	$6,397.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,612.44 / $3,857.10 / $4,041.44	Facility		$2,612.44	$3,857.10	$4,041.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,030.44 / $4,725.97 / $5,787.78	Facility		$3,030.44	$4,725.97	$5,787.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,552.67 / $4,740.39 / $5,959.07	Professional		$3,552.67	$4,740.39	$5,959.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,604.63 / $10,604.63 / $10,604.63	Facility		$10,604.63	$10,604.63	$10,604.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,709.86 / $4,949.26 / $6,327.57	Professional		$3,709.86	$4,949.26	$6,327.57
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 $3,068.18 / $4,459.39 / $6,417.45	Professional		$3,068.18	$4,459.39	$6,417.45