Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,788.03 / $7,920.26	Facility		$2,747.00	$4,788.03	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,806.95 / $2,962.53 / $10,289.20	Professional		$1,806.95	$2,962.53	$10,289.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,710.17 / $4,301.76 / $5,719.33	Professional		$2,710.17	$4,301.76	$5,719.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,103.15 / $4,465.03 / $5,059.28	Professional		$3,103.15	$4,465.03	$5,059.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,221.06 / $4,148.60 / $6,369.44	Facility		$2,221.06	$4,148.60	$6,369.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,007.47 / $3,379.20 / $6,170.57	Professional		$3,007.47	$3,379.20	$6,170.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,400.26 / $3,689.62 / $3,896.72	Facility		$2,400.26	$3,689.62	$3,896.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,962.53 / $4,620.07 / $5,501.77	Facility		$2,962.53	$4,620.07	$5,501.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,420.94 / $4,559.72 / $5,769.54	Professional		$3,420.94	$4,559.72	$5,769.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,205.36 / $10,205.36 / $10,205.36	Facility		$10,205.36	$10,205.36	$10,205.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,585.01 / $4,772.03 / $6,100.98	Professional		$3,585.01	$4,772.03	$6,100.98
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 $2,959.52 / $4,484.12 / $6,201.45	Professional		$2,959.52	$4,484.12	$6,201.45