Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,950.22 / $3,199.17 / $11,120.10	Professional		$1,950.22	$3,199.17	$11,120.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,932.65 / $4,645.37 / $6,174.64	Professional		$2,932.65	$4,645.37	$6,174.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,348.10 / $4,816.57 / $5,454.51	Professional		$3,348.10	$4,816.57	$5,454.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,312.26 / $4,483.09 / $6,878.22	Facility		$2,312.26	$4,483.09	$6,878.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,251.25 / $3,658.20 / $6,659.68	Professional		$3,251.25	$3,658.20	$6,659.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,598.54 / $3,988.30 / $4,206.93	Facility		$2,598.54	$3,988.30	$4,206.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,199.17 / $4,989.10 / $5,950.68	Facility		$3,199.17	$4,989.10	$5,950.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,691.54 / $4,920.38 / $6,230.39	Professional		$3,691.54	$4,920.38	$6,230.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,124.54 / $11,124.54 / $11,124.54	Facility		$11,124.54	$11,124.54	$11,124.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,869.77 / $5,151.92 / $6,586.67	Professional		$3,869.77	$5,151.92	$6,586.67
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 $3,261.07 / $4,841.09 / $6,694.04	Professional		$3,261.07	$4,841.09	$6,694.04