Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,715.69 / $7,920.26	Facility		$2,747.00	$5,715.69	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,639.25 / $6,339.22 / $13,782.20	Professional		$2,639.25	$6,339.22	$13,782.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,573.37 / $5,703.40 / $7,773.61	Professional		$3,573.37	$5,703.40	$7,773.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,128.58 / $5,844.65 / $6,653.36	Professional		$4,128.58	$5,844.65	$6,653.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,465.29 / $5,196.10 / $7,650.08	Facility		$3,465.29	$5,196.10	$7,650.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,195.26 / $5,353.71 / $8,423.01	Professional		$4,195.26	$5,353.71	$8,423.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,862.92 / $5,029.35 / $5,341.91	Facility		$3,862.92	$5,029.35	$5,341.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,465.29 / $5,812.87 / $7,517.82	Facility		$3,465.29	$5,812.87	$7,517.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,599.89 / $6,184.62 / $8,133.91	Professional		$4,599.89	$6,184.62	$8,133.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,098.65 / $14,098.65 / $14,098.65	Facility		$14,098.65	$14,098.65	$14,098.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,856.28 / $6,388.65 / $8,415.56	Professional		$4,856.28	$6,388.65	$8,415.56
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 $4,077.33 / $6,080.77 / $8,764.54	Professional		$4,077.33	$6,080.77	$8,764.54