Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,823.96 / $7,920.26	Facility		$2,747.00	$4,823.96	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,719.60 / $2,652.78 / $10,440.79	Professional		$1,719.60	$2,652.78	$10,440.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,701.04 / $4,146.83 / $5,932.73	Professional		$2,701.04	$4,146.83	$5,932.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,136.80 / $4,441.85 / $5,056.46	Professional		$3,136.80	$4,441.85	$5,056.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,652.78 / $3,793.48 / $5,703.48	Facility		$2,652.78	$3,793.48	$5,703.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,123.78 / $3,941.12 / $6,418.83	Professional		$3,123.78	$3,941.12	$6,418.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,673.44 / $3,821.19 / $4,088.16	Facility		$2,673.44	$3,821.19	$4,088.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,652.78 / $4,137.01 / $5,699.84	Facility		$2,652.78	$4,137.01	$5,699.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,440.49 / $4,689.35 / $6,177.33	Professional		$3,440.49	$4,689.35	$6,177.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,220.39 / $11,220.39 / $11,220.39	Facility		$11,220.39	$11,220.39	$11,220.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,698.79 / $4,865.93 / $6,409.72	Professional		$3,698.79	$4,865.93	$6,409.72
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 $3,088.80 / $4,362.87 / $6,338.77	Professional		$3,088.80	$4,362.87	$6,338.77