Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,052.97 / $7,920.26	Facility		$2,747.00	$5,052.97	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,084.75 / $2,778.33 / $10,936.50	Professional		$2,084.75	$2,778.33	$10,936.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,827.76 / $4,515.71 / $6,215.94	Professional		$2,827.76	$4,515.71	$6,215.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,284.12 / $4,649.55 / $5,292.89	Professional		$3,284.12	$4,649.55	$5,292.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,778.33 / $4,133.30 / $6,022.88	Facility		$2,778.33	$4,133.30	$6,022.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,304.80 / $4,244.18 / $6,721.21	Professional		$3,304.80	$4,244.18	$6,721.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,038.30 / $4,000.65 / $4,235.07	Facility		$3,038.30	$4,000.65	$4,235.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,778.33 / $4,592.14 / $5,973.41	Facility		$2,778.33	$4,592.14	$5,973.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,639.34 / $4,910.10 / $6,468.11	Professional		$3,639.34	$4,910.10	$6,468.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,177.77 / $11,177.77 / $11,177.77	Facility		$11,177.77	$11,177.77	$11,177.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,871.61 / $5,093.28 / $6,709.21	Professional		$3,871.61	$5,093.28	$6,709.21
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 $3,236.49 / $4,501.43 / $6,697.25	Professional		$3,236.49	$4,501.43	$6,697.25