Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.04 / $3,428.42 / $12,177.70	Professional		$2,137.04	$3,428.42	$12,177.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,245.50 / $5,165.03 / $6,934.79	Professional		$3,245.50	$5,165.03	$6,934.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,669.25 / $5,203.20 / $5,858.28	Professional		$3,669.25	$5,203.20	$5,858.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,536.67 / $4,995.46 / $7,371.10	Facility		$2,536.67	$4,995.46	$7,371.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,628.14 / $4,171.64 / $7,502.08	Professional		$3,628.14	$4,171.64	$7,502.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,921.94 / $4,469.81 / $4,724.84	Facility		$2,921.94	$4,469.81	$4,724.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,428.42 / $5,346.62 / $6,633.78	Facility		$3,428.42	$5,346.62	$6,633.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,135.80 / $5,487.74 / $6,984.78	Professional		$4,135.80	$5,487.74	$6,984.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,340.10 / $12,340.10 / $12,340.10	Facility		$12,340.10	$12,340.10	$12,340.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,318.13 / $5,786.17 / $7,397.55	Professional		$4,318.13	$5,786.17	$7,397.55
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 $3,667.08 / $5,437.07 / $7,400.14	Professional		$3,667.08	$5,437.07	$7,400.14