Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,779.82 / $7,920.26	Facility		$2,747.00	$4,779.82	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,029.76 / $2,629.25 / $10,346.40	Professional		$2,029.76	$2,629.25	$10,346.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,676.65 / $4,260.93 / $5,878.64	Professional		$2,676.65	$4,260.93	$5,878.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,106.94 / $4,399.79 / $5,008.58	Professional		$3,106.94	$4,399.79	$5,008.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,629.25 / $4,100.32 / $5,723.91	Facility		$2,629.25	$4,100.32	$5,723.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,198.03 / $4,166.55 / $6,357.30	Professional		$3,198.03	$4,166.55	$6,357.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,874.54 / $3,784.82 / $4,048.72	Facility		$2,874.54	$3,784.82	$4,048.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,629.25 / $4,381.64 / $5,723.91	Facility		$2,629.25	$4,381.64	$5,723.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,445.27 / $4,644.12 / $6,117.74	Professional		$3,445.27	$4,644.12	$6,117.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,574.45 / $10,574.45 / $10,574.45	Facility		$10,574.45	$10,574.45	$10,574.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,661.89 / $4,817.38 / $6,345.77	Professional		$3,661.89	$4,817.38	$6,345.77
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 $3,060.72 / $4,354.43 / $6,334.44	Professional		$3,060.72	$4,354.43	$6,334.44