Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,352.26 / $7,920.26	Facility		$2,747.00	$5,352.26	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,241.79 / $3,661.40 / $12,763.90	Professional		$2,241.79	$3,661.40	$12,763.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,371.80 / $5,316.56 / $7,083.28	Professional		$3,371.80	$5,316.56	$7,083.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,838.43 / $5,518.57 / $6,240.04	Professional		$3,838.43	$5,518.57	$6,240.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,001.70 / $5,170.77 / $7,872.01	Facility		$3,001.70	$5,170.77	$7,872.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,725.04 / $4,212.60 / $7,640.01	Professional		$3,725.04	$4,212.60	$7,640.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,333.65 / $4,538.95 / $4,826.01	Facility		$3,333.65	$4,538.95	$4,826.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,661.40 / $5,709.95 / $6,828.15	Facility		$3,661.40	$5,709.95	$6,828.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,236.54 / $5,645.76 / $7,146.09	Professional		$4,236.54	$5,645.76	$7,146.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,803.25 / $12,803.25 / $12,803.25	Facility		$12,803.25	$12,803.25	$12,803.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,439.28 / $5,910.06 / $7,555.95	Professional		$4,439.28	$5,910.06	$7,555.95
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 $3,611.92 / $5,667.93 / $7,679.23	Professional		$3,611.92	$5,667.93	$7,679.23