Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,244.88 / $7,920.26	Facility		$2,747.00	$6,244.88	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,868.06 / $3,839.11 / $15,078.30	Professional		$2,868.06	$3,839.11	$15,078.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,902.24 / $6,195.41 / $8,492.45	Professional		$3,902.24	$6,195.41	$8,492.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,511.51 / $6,388.78 / $7,272.79	Professional		$4,511.51	$6,388.78	$7,272.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,839.11 / $5,837.11 / $8,324.85	Facility		$3,839.11	$5,837.11	$8,324.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,628.93 / $6,044.67 / $9,201.74	Professional		$4,628.93	$6,044.67	$9,201.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,171.55 / $5,495.84 / $5,888.80	Facility		$4,171.55	$5,495.84	$5,888.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,839.11 / $6,391.00 / $8,324.85	Facility		$3,839.11	$6,391.00	$8,324.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,024.17 / $6,798.48 / $8,884.78	Professional		$5,024.17	$6,798.48	$8,884.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,300.04 / $15,300.04 / $15,300.04	Facility		$15,300.04	$15,300.04	$15,300.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,305.25 / $6,979.30 / $9,193.59	Professional		$5,305.25	$6,979.30	$9,193.59
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 $4,461.60 / $6,206.40 / $9,177.19	Professional		$4,461.60	$6,206.40	$9,177.19