Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,732.89 / $7,920.26	Facility		$2,747.00	$4,732.89	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,779.01 / $2,600.71 / $10,219.90	Professional		$1,779.01	$2,600.71	$10,219.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,637.62 / $4,092.31 / $5,816.69	Professional		$2,637.62	$4,092.31	$5,816.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,077.99 / $4,364.12 / $4,967.97	Professional		$3,077.99	$4,364.12	$4,967.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,600.71 / $3,867.87 / $5,921.99	Facility		$2,600.71	$3,867.87	$5,921.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,166.00 / $4,000.88 / $6,293.63	Professional		$3,166.00	$4,000.88	$6,293.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,832.39 / $3,749.55 / $3,963.05	Facility		$2,832.39	$3,749.55	$3,963.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,600.71 / $4,185.70 / $5,591.53	Facility		$2,600.71	$4,185.70	$5,591.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,396.84 / $4,591.08 / $6,047.87	Professional		$3,396.84	$4,591.08	$6,047.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,421.85 / $10,421.85 / $10,421.85	Facility		$10,421.85	$10,421.85	$10,421.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,621.91 / $4,764.79 / $6,276.50	Professional		$3,621.91	$4,764.79	$6,276.50
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 $3,019.12 / $4,095.69 / $6,207.02	Professional		$3,019.12	$4,095.69	$6,207.02