Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,714.57 / $7,920.26	Facility		$2,747.00	$4,714.57	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,926.08 / $2,590.16 / $10,178.00	Professional		$1,926.08	$2,590.16	$10,178.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,626.47 / $4,151.43 / $5,793.09	Professional		$2,626.47	$4,151.43	$5,793.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,065.92 / $4,347.91 / $4,949.52	Professional		$3,065.92	$4,347.91	$4,949.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,590.16 / $3,858.68 / $5,568.84	Facility		$2,590.16	$3,858.68	$5,568.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,153.20 / $3,859.86 / $6,268.18	Professional		$3,153.20	$3,859.86	$6,268.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,819.79 / $3,734.83 / $3,969.84	Facility		$2,819.79	$3,734.83	$3,969.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,590.16 / $4,240.72 / $5,558.23	Facility		$2,590.16	$4,240.72	$5,558.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,382.87 / $4,572.35 / $6,023.21	Professional		$3,382.87	$4,572.35	$6,023.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,375.70 / $10,375.70 / $10,375.70	Facility		$10,375.70	$10,375.70	$10,375.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,606.53 / $4,744.56 / $6,249.85	Professional		$3,606.53	$4,744.56	$6,249.85
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 $3,006.12 / $4,272.68 / $6,180.67	Professional		$3,006.12	$4,272.68	$6,180.67