Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,832.84 / $7,920.26	Facility		$2,747.00	$4,832.84	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,971.01 / $2,661.88 / $10,489.50	Professional		$1,971.01	$2,661.88	$10,489.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,713.80 / $4,276.27 / $5,950.43	Professional		$2,713.80	$4,276.27	$5,950.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,138.76 / $4,437.24 / $5,051.21	Professional		$3,138.76	$4,437.24	$5,051.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,504.19 / $3,950.35 / $5,782.22	Facility		$2,504.19	$3,950.35	$5,782.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,170.67 / $4,037.88 / $6,429.46	Professional		$3,170.67	$4,037.88	$6,429.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,916.21 / $3,823.58 / $4,094.96	Facility		$2,916.21	$3,823.58	$4,094.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,504.19 / $4,352.17 / $5,723.04	Facility		$2,504.19	$4,352.17	$5,723.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,490.10 / $4,708.85 / $6,203.02	Professional		$3,490.10	$4,708.85	$6,203.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,728.83 / $10,728.83 / $10,728.83	Facility		$10,728.83	$10,728.83	$10,728.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,711.71 / $4,882.92 / $6,432.10	Professional		$3,711.71	$4,882.92	$6,432.10
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 $3,109.61 / $4,320.72 / $6,420.62	Professional		$3,109.61	$4,320.72	$6,420.62