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 $2,306.03 / $4,666.97 / $12,237.50	Professional		$2,306.03	$4,666.97	$12,237.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,177.00 / $5,167.72 / $6,900.37	Professional		$3,177.00	$5,167.72	$6,900.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,661.77 / $5,179.10 / $5,895.73	Professional		$3,661.77	$5,179.10	$5,895.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,253.63 / $4,608.60 / $6,800.38	Facility		$2,253.63	$4,608.60	$6,800.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,727.08 / $4,871.04 / $7,473.45	Professional		$3,727.08	$4,871.04	$7,473.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,160.80 / $4,460.70 / $4,769.72	Facility		$3,160.80	$4,460.70	$4,769.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,253.63 / $5,089.92 / $6,671.64	Facility		$2,253.63	$5,089.92	$6,671.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,087.72 / $5,491.20 / $7,221.33	Professional		$4,087.72	$5,491.20	$7,221.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,615.16 / $12,615.16 / $12,615.16	Facility		$12,615.16	$12,615.16	$12,615.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,311.35 / $5,671.79 / $7,471.26	Professional		$4,311.35	$5,671.79	$7,471.26
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 $3,554.19 / $5,349.95 / $7,781.08	Professional		$3,554.19	$5,349.95	$7,781.08