Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,833.78 / $7,920.26	Facility		$2,747.00	$4,833.78	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,893.50 / $2,657.30 / $10,461.79	Professional		$1,893.50	$2,657.30	$10,461.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,706.00 / $4,374.82 / $5,945.51	Professional		$2,706.00	$4,374.82	$5,945.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,142.26 / $4,449.51 / $5,065.17	Professional		$3,142.26	$4,449.51	$5,065.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,657.30 / $3,966.81 / $5,713.20	Facility		$2,657.30	$3,966.81	$5,713.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,234.86 / $3,969.57 / $6,430.51	Professional		$3,234.86	$3,969.57	$6,430.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,905.55 / $3,827.83 / $4,094.28	Facility		$2,905.55	$3,827.83	$4,094.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,657.30 / $4,428.39 / $5,677.63	Facility		$2,657.30	$4,428.39	$5,677.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,482.84 / $4,696.38 / $6,186.58	Professional		$3,482.84	$4,696.38	$6,186.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,689.78 / $10,689.78 / $10,689.78	Facility		$10,689.78	$10,689.78	$10,689.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,704.33 / $4,873.21 / $6,419.31	Professional		$3,704.33	$4,873.21	$6,419.31
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 $3,095.56 / $4,661.45 / $6,348.26	Professional		$3,095.56	$4,661.45	$6,348.26