Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,942.22 / $7,920.26	Facility		$2,747.00	$4,942.22	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,829.22 / $2,717.36 / $10,701.40	Professional		$1,829.22	$2,717.36	$10,701.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,767.13 / $4,248.18 / $6,079.25	Professional		$2,767.13	$4,248.18	$6,079.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,212.72 / $4,548.97 / $5,178.42	Professional		$3,212.72	$4,548.97	$5,178.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,717.36 / $4,043.44 / $6,142.28	Facility		$2,717.36	$4,043.44	$6,142.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,307.44 / $4,308.26 / $6,574.79	Professional		$3,307.44	$4,308.26	$6,574.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,899.36 / $3,913.68 / $4,338.25	Facility		$2,899.36	$3,913.68	$4,338.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,717.36 / $4,237.72 / $6,142.28	Facility		$2,717.36	$4,237.72	$6,142.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,561.45 / $4,787.51 / $6,326.32	Professional		$3,561.45	$4,787.51	$6,326.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,498.98 / $11,498.98 / $11,498.98	Facility		$11,498.98	$11,498.98	$11,498.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,787.36 / $4,982.43 / $6,563.20	Professional		$3,787.36	$4,982.43	$6,563.20
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 $3,105.91 / $4,717.97 / $6,490.52	Professional		$3,105.91	$4,717.97	$6,490.52