Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,536.12 / $7,920.26	Facility		$2,747.00	$4,536.12	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,894.64 / $2,837.55 / $9,884.79	Professional		$1,894.64	$2,837.55	$9,884.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,551.37 / $4,087.20 / $5,557.08	Professional		$2,551.37	$4,087.20	$5,557.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,956.21 / $4,191.12 / $4,771.04	Professional		$2,956.21	$4,191.12	$4,771.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,517.81 / $3,845.40 / $5,471.22	Facility		$2,517.81	$3,845.40	$5,471.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,031.51 / $3,961.40 / $6,026.28	Professional		$3,031.51	$3,961.40	$6,026.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,732.10 / $3,601.21 / $3,848.80	Facility		$2,732.10	$3,601.21	$3,848.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,517.81 / $4,195.93 / $5,471.22	Facility		$2,517.81	$4,195.93	$5,471.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,286.35 / $4,414.80 / $5,811.26	Professional		$3,286.35	$4,414.80	$5,811.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,088.20 / $10,088.20 / $10,088.20	Facility		$10,088.20	$10,088.20	$10,088.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,470.00 / $4,564.93 / $6,013.24	Professional		$3,470.00	$4,564.93	$6,013.24
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 $2,860.07 / $4,142.76 / $6,002.53	Professional		$2,860.07	$4,142.76	$6,002.53