Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,484.40 / $7,920.26	Facility		$2,747.00	$6,484.40	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,946.27 / $3,965.16 / $15,641.10	Professional		$2,946.27	$3,965.16	$15,641.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,054.03 / $6,362.58 / $8,818.95	Professional		$4,054.03	$6,362.58	$8,818.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,680.63 / $6,620.76 / $7,536.86	Professional		$4,680.63	$6,620.76	$7,536.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,384.47 / $5,890.91 / $8,664.54	Facility		$3,384.47	$5,890.91	$8,664.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,734.84 / $6,074.07 / $9,552.93	Professional		$4,734.84	$6,074.07	$9,552.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,356.62 / $5,701.84 / $6,081.02	Facility		$4,356.62	$5,701.84	$6,081.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,384.47 / $6,505.10 / $8,525.09	Facility		$3,384.47	$6,505.10	$8,525.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,216.59 / $7,020.78 / $9,229.83	Professional		$5,216.59	$7,020.78	$9,229.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,013.38 / $16,013.38 / $16,013.38	Facility		$16,013.38	$16,013.38	$16,013.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,511.28 / $7,250.35 / $9,550.62	Professional		$5,511.28	$7,250.35	$9,550.62
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 $4,632.68 / $6,236.31 / $9,444.89	Professional		$4,632.68	$6,236.31	$9,444.89