Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,387.41 / $9,972.00 / $20,400.00	Facility		$3,387.41	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,451.45 / $2,559.10 / $8,825.31	Professional		$1,451.45	$2,559.10	$8,825.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,173.01 / $3,852.46 / $4,970.97	Professional		$2,173.01	$3,852.46	$4,970.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,693.23 / $3,876.50 / $4,396.77	Professional		$2,693.23	$3,876.50	$4,396.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,559.10 / $3,389.63 / $5,502.07	Facility		$2,559.10	$3,389.63	$5,502.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,621.60 / $3,269.06 / $5,352.57	Professional		$2,621.60	$3,269.06	$5,352.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,175.89 / $3,110.15 / $3,386.85	Facility		$2,175.89	$3,110.15	$3,386.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,559.10 / $3,990.92 / $5,502.07	Facility		$2,559.10	$3,990.92	$5,502.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,886.54 / $4,010.75 / $5,013.43	Professional		$2,886.54	$4,010.75	$5,013.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,113.90 / $4,147.63 / $5,302.70	Professional		$3,113.90	$4,147.63	$5,302.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,632.29 / $4,233.56 / $5,386.52	Professional		$2,632.29	$4,233.56	$5,386.52