Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,453.34 / $8,878.56 / $20,400.00	Facility		$3,453.34	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,554.21 / $2,594.60 / $9,001.60	Professional		$1,554.21	$2,594.60	$9,001.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,305.35 / $4,019.69 / $5,121.43	Professional		$2,305.35	$4,019.69	$5,121.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,782.50 / $4,000.00 / $4,521.43	Professional		$2,782.50	$4,000.00	$4,521.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,594.60 / $3,501.98 / $5,578.39	Facility		$2,594.60	$3,501.98	$5,578.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,786.54 / $3,471.42 / $5,539.30	Professional		$2,786.54	$3,471.42	$5,539.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,270.10 / $3,236.10 / $3,489.36	Facility		$2,270.10	$3,236.10	$3,489.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,594.60 / $4,046.28 / $5,578.39	Facility		$2,594.60	$4,046.28	$5,578.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,978.50 / $4,112.89 / $5,141.12	Professional		$2,978.50	$4,112.89	$5,141.12
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 $3,203.69 / $4,273.16 / $5,463.19	Professional		$3,203.69	$4,273.16	$5,463.19
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 $2,601.25 / $3,629.75 / $5,541.84	Professional		$2,601.25	$3,629.75	$5,541.84