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 $2,243.44 / $3,410.74 / $11,896.20	Professional		$2,243.44	$3,410.74	$11,896.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,069.73 / $4,842.01 / $6,707.63	Professional		$3,069.73	$4,842.01	$6,707.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,556.74 / $5,039.34 / $5,736.63	Professional		$3,556.74	$5,039.34	$5,736.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,012.34 / $4,476.41 / $6,548.62	Facility		$3,012.34	$4,476.41	$6,548.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,609.27 / $4,592.64 / $7,248.50	Professional		$3,609.27	$4,592.64	$7,248.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,278.61 / $4,332.74 / $4,587.49	Facility		$3,278.61	$4,332.74	$4,587.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,012.34 / $4,941.97 / $6,476.53	Facility		$3,012.34	$4,941.97	$6,476.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,952.83 / $5,311.02 / $6,996.25	Professional		$3,952.83	$5,311.02	$6,996.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,034.89 / $12,034.89 / $12,034.89	Facility		$12,034.89	$12,034.89	$12,034.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,183.43 / $5,503.50 / $7,249.57	Professional		$4,183.43	$5,503.50	$7,249.57
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 $3,513.12 / $4,919.04 / $7,236.65	Professional		$3,513.12	$4,919.04	$7,236.65