Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,094.03 / $7,920.26	Facility		$2,747.00	$6,094.03	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,764.29 / $3,729.20 / $14,663.60	Professional		$2,764.29	$3,729.20	$14,663.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,764.18 / $5,983.71 / $8,340.04	Professional		$3,764.18	$5,983.71	$8,340.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,408.38 / $6,242.63 / $7,106.41	Professional		$4,408.38	$6,242.63	$7,106.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,622.77 / $5,548.27 / $8,034.21	Facility		$3,622.77	$5,548.27	$8,034.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,417.10 / $5,673.18 / $9,021.37	Professional		$4,417.10	$5,673.18	$9,021.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,996.45 / $5,370.21 / $5,682.27	Facility		$3,996.45	$5,370.21	$5,682.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,622.77 / $6,095.00 / $8,017.78	Facility		$3,622.77	$6,095.00	$8,017.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,849.87 / $6,572.80 / $8,662.85	Professional		$4,849.87	$6,572.80	$8,662.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,861.71 / $14,861.71 / $14,861.71	Facility		$14,861.71	$14,861.71	$14,861.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,195.78 / $6,835.28 / $9,003.87	Professional		$5,195.78	$6,835.28	$9,003.87
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 $4,339.93 / $6,810.34 / $8,904.19	Professional		$4,339.93	$6,810.34	$8,904.19