Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,760.39 / $7,920.26	Facility		$2,747.00	$4,760.39	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,865.60 / $2,617.57 / $10,301.00	Professional		$1,865.60	$2,617.57	$10,301.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,664.47 / $4,092.57 / $5,855.04	Professional		$2,664.47	$4,092.57	$5,855.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,093.82 / $4,381.30 / $4,987.53	Professional		$3,093.82	$4,381.30	$4,987.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,617.57 / $3,893.79 / $5,910.88	Facility		$2,617.57	$3,893.79	$5,910.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,184.70 / $4,148.22 / $6,330.79	Professional		$3,184.70	$4,148.22	$6,330.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,827.30 / $3,768.83 / $4,175.43	Facility		$2,827.30	$3,768.83	$4,175.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,617.57 / $4,193.67 / $5,910.88	Facility		$2,617.57	$4,193.67	$5,910.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,429.69 / $4,612.13 / $6,092.05	Professional		$3,429.69	$4,612.13	$6,092.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,067.74 / $11,067.74 / $11,067.74	Facility		$11,067.74	$11,067.74	$11,067.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,648.36 / $4,799.58 / $6,322.33	Professional		$3,648.36	$4,799.58	$6,322.33
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 $3,047.20 / $4,754.56 / $6,311.05	Professional		$3,047.20	$4,754.56	$6,311.05