Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,830.62 / $7,920.26	Facility		$2,747.00	$4,830.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,852.03 / $2,935.02 / $10,420.00	Professional		$1,852.03	$2,935.02	$10,420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,772.51 / $4,417.92 / $5,934.69	Professional		$2,772.51	$4,417.92	$5,934.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,140.05 / $4,454.89 / $5,015.77	Professional		$3,140.05	$4,454.89	$5,015.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,935.02 / $4,323.07 / $6,310.29	Facility		$2,935.02	$4,323.07	$6,310.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,114.57 / $3,734.28 / $6,417.78	Professional		$3,114.57	$3,734.28	$6,417.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,912.81 / $3,825.14 / $4,043.45	Facility		$2,912.81	$3,825.14	$4,043.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,935.02 / $4,819.60 / $6,310.29	Facility		$2,935.02	$4,819.60	$6,310.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,533.05 / $4,695.09 / $5,974.17	Professional		$3,533.05	$4,695.09	$5,974.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,636.55 / $10,636.55 / $10,636.55	Facility		$10,636.55	$10,636.55	$10,636.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,693.87 / $4,951.72 / $6,330.72	Professional		$3,693.87	$4,951.72	$6,330.72
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 $3,057.06 / $4,504.50 / $6,389.79	Professional		$3,057.06	$4,504.50	$6,389.79