Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,712.64 / $7,920.26	Facility		$2,747.00	$4,712.64	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,898.52 / $2,590.61 / $10,196.90	Professional		$1,898.52	$2,590.61	$10,196.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,636.43 / $4,106.91 / $5,796.04	Professional		$2,636.43	$4,106.91	$5,796.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,062.87 / $4,337.57 / $4,937.76	Professional		$3,062.87	$4,337.57	$4,937.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,590.61 / $3,874.18 / $5,569.81	Facility		$2,590.61	$3,874.18	$5,569.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,152.67 / $3,866.76 / $6,267.13	Professional		$3,152.67	$3,866.76	$6,267.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,831.90 / $3,731.13 / $3,988.53	Facility		$2,831.90	$3,731.13	$3,988.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,590.61 / $4,193.39 / $5,511.02	Facility		$2,590.61	$4,193.39	$5,511.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,393.66 / $4,577.04 / $6,029.37	Professional		$3,393.66	$4,577.04	$6,029.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,418.28 / $10,418.28 / $10,418.28	Facility		$10,418.28	$10,418.28	$10,418.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,610.23 / $4,749.42 / $6,256.25	Professional		$3,610.23	$4,749.42	$6,256.25
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 $3,016.53 / $4,196.14 / $6,245.09	Professional		$3,016.53	$4,196.14	$6,245.09