Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,218.28 / $7,920.26	Facility		$2,747.00	$6,218.28	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,585.13 / $4,236.13 / $14,846.80	Professional		$2,585.13	$4,236.13	$14,846.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,923.29 / $6,151.09 / $8,243.67	Professional		$3,923.29	$6,151.09	$8,243.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,458.66 / $6,404.07 / $7,222.46	Professional		$4,458.66	$6,404.07	$7,222.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,045.18 / $6,001.49 / $9,107.68	Facility		$3,045.18	$6,001.49	$9,107.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,352.34 / $4,914.00 / $8,885.59	Professional		$4,352.34	$4,914.00	$8,885.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,490.20 / $5,332.60 / $5,616.61	Facility		$3,490.20	$5,332.60	$5,616.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,236.13 / $6,606.24 / $8,003.66	Facility		$4,236.13	$6,606.24	$8,003.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,940.76 / $6,621.60 / $8,299.20	Professional		$4,940.76	$6,621.60	$8,299.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,902.55 / $14,902.55 / $14,902.55	Facility		$14,902.55	$14,902.55	$14,902.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,160.71 / $6,878.25 / $8,793.77	Professional		$5,160.71	$6,878.25	$8,793.77
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 $4,216.16 / $5,742.79 / $8,844.10	Professional		$4,216.16	$5,742.79	$8,844.10