Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,035.33 / $7,920.26	Facility		$2,747.00	$5,035.33	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.48 / $3,118.92 / $10,837.60	Professional		$1,905.48	$3,118.92	$10,837.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,858.27 / $4,528.84 / $6,015.33	Professional		$2,858.27	$4,528.84	$6,015.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,262.30 / $4,693.70 / $5,317.22	Professional		$3,262.30	$4,693.70	$5,317.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,397.46 / $4,375.85 / $6,705.68	Facility		$2,397.46	$4,375.85	$6,705.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,167.10 / $3,564.00 / $6,487.81	Professional		$3,167.10	$3,564.00	$6,487.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,588.94 / $3,886.12 / $4,098.39	Facility		$2,588.94	$3,886.12	$4,098.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,118.92 / $4,863.96 / $5,794.26	Facility		$3,118.92	$4,863.96	$5,794.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,597.37 / $4,796.68 / $6,070.79	Professional		$3,597.37	$4,796.68	$6,070.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,812.25 / $10,812.25 / $10,812.25	Facility		$10,812.25	$10,812.25	$10,812.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,771.37 / $5,019.00 / $6,416.73	Professional		$3,771.37	$5,019.00	$6,416.73
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 $3,059.16 / $4,445.89 / $6,523.82	Professional		$3,059.16	$4,445.89	$6,523.82