Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,529.00 / $5,649.00 / $15,341.00	Facility		$3,529.00	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,628.34 / $2,696.10 / $9,175.45	Professional		$1,628.34	$2,696.10	$9,175.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,437.14 / $3,914.89 / $5,116.52	Professional		$2,437.14	$3,914.89	$5,116.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,783.53 / $4,009.71 / $4,582.12	Professional		$2,783.53	$4,009.71	$4,582.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,875.35 / $3,661.92 / $5,796.62	Facility		$1,875.35	$3,661.92	$5,796.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,674.44 / $2,981.44 / $5,501.12	Professional		$2,674.44	$2,981.44	$5,501.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,441.29 / $3,252.48 / $3,512.88	Facility		$2,441.29	$3,252.48	$3,512.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,433.34 / $4,169.97 / $5,796.62	Facility		$2,433.34	$4,169.97	$5,796.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,040.87 / $4,132.80 / $5,180.02	Professional		$3,040.87	$4,132.80	$5,180.02
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 $3,211.68 / $4,269.06 / $5,457.95	Professional		$3,211.68	$4,269.06	$5,457.95
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 $2,557.89 / $3,632.69 / $5,555.68	Professional		$2,557.89	$3,632.69	$5,555.68