Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,591.47 / $7,920.26	Facility		$2,747.00	$4,591.47	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,596.38 / $2,528.23 / $9,954.42	Professional		$1,596.38	$2,528.23	$9,954.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,574.92 / $3,943.31 / $5,650.50	Professional		$2,574.92	$3,943.31	$5,650.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,983.64 / $4,220.89 / $4,804.93	Professional		$2,983.64	$4,220.89	$4,804.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,528.23 / $3,615.37 / $5,506.39	Facility		$2,528.23	$3,615.37	$5,506.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,073.14 / $3,807.36 / $6,109.03	Professional		$3,073.14	$3,807.36	$6,109.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,664.90 / $3,634.61 / $4,046.13	Facility		$2,664.90	$3,634.61	$4,046.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,528.23 / $3,942.77 / $5,435.69	Facility		$2,528.23	$3,942.77	$5,435.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,278.41 / $4,443.93 / $5,888.60	Professional		$3,278.41	$4,443.93	$5,888.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,725.27 / $10,725.27 / $10,725.27	Facility		$10,725.27	$10,725.27	$10,725.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,522.28 / $4,633.72 / $6,103.84	Professional		$3,522.28	$4,633.72	$6,103.84
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 $2,947.88 / $4,366.08 / $6,092.95	Professional		$2,947.88	$4,366.08	$6,092.95