Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,822.87 / $7,920.26	Facility		$2,747.00	$4,822.87	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.58 / $2,653.11 / $10,449.40	Professional		$1,961.58	$2,653.11	$10,449.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,703.15 / $4,252.18 / $5,934.69	Professional		$2,703.15	$4,252.18	$5,934.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,134.29 / $4,435.07 / $5,048.74	Professional		$3,134.29	$4,435.07	$5,048.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,653.11 / $3,944.73 / $5,716.51	Facility		$2,653.11	$3,944.73	$5,716.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,227.93 / $4,070.53 / $6,416.73	Professional		$3,227.93	$4,070.53	$6,416.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,903.12 / $3,818.13 / $4,089.52	Facility		$2,903.12	$3,818.13	$4,089.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,653.11 / $4,421.41 / $5,704.19	Facility		$2,653.11	$4,421.41	$5,704.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,477.87 / $4,671.75 / $6,179.39	Professional		$3,477.87	$4,671.75	$6,179.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,682.69 / $10,682.69 / $10,682.69	Facility		$10,682.69	$10,682.69	$10,682.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,698.18 / $4,865.12 / $6,408.66	Professional		$3,698.18	$4,865.12	$6,408.66
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 $3,094.52 / $4,487.97 / $6,397.23	Professional		$3,094.52	$4,487.97	$6,397.23