Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,179.57 / $7,920.26	Facility		$2,747.00	$5,179.57	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,798.88 / $3,167.92 / $12,475.00	Professional		$1,798.88	$3,167.92	$12,475.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,223.71 / $4,948.32 / $7,087.21	Professional		$3,223.71	$4,948.32	$7,087.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,742.62 / $5,296.48 / $6,029.34	Professional		$3,742.62	$5,296.48	$6,029.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,836.21 / $4,055.57 / $6,887.39	Facility		$2,836.21	$4,055.57	$6,887.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,762.24 / $7,661.23	Professional		$3,388.44	$4,762.24	$7,661.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,002.58 / $4,559.18 / $4,828.68	Facility		$3,002.58	$4,559.18	$4,828.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,836.21 / $4,940.37 / $6,811.03	Facility		$2,836.21	$4,940.37	$6,811.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,937.45 / $5,580.00 / $7,377.45	Professional		$3,937.45	$5,580.00	$7,377.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,744.67 / $12,744.67 / $12,744.67	Facility		$12,744.67	$12,744.67	$12,744.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,417.76 / $5,811.77 / $7,655.64	Professional		$4,417.76	$5,811.77	$7,655.64
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 $3,623.05 / $5,418.81 / $7,641.99	Professional		$3,623.05	$5,418.81	$7,641.99