Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,856.48 / $8,878.56 / $20,400.00	Facility		$2,856.48	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,397.84 / $2,163.42 / $7,423.79	Professional		$1,397.84	$2,163.42	$7,423.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,885.29 / $3,141.41 / $4,174.45	Professional		$1,885.29	$3,141.41	$4,174.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,260.82 / $3,256.17 / $3,699.05	Professional		$2,260.82	$3,256.17	$3,699.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,139.62 / $3,093.69 / $4,651.35	Facility		$2,139.62	$3,093.69	$4,651.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,258.69 / $2,525.44 / $4,489.99	Professional		$2,258.69	$2,525.44	$4,489.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,921.04 / $2,656.55 / $2,887.70	Facility		$1,921.04	$2,656.55	$2,887.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,163.42 / $3,334.11 / $4,651.35	Facility		$2,163.42	$3,334.11	$4,651.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,424.63 / $3,378.73 / $4,223.42	Professional		$2,424.63	$3,378.73	$4,223.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,618.80 / $3,483.02 / $4,453.01	Professional		$2,618.80	$3,483.02	$4,453.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,168.65 / $3,238.97 / $4,487.93	Professional		$2,168.65	$3,238.97	$4,487.93