Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,969.87 / $7,920.26	Facility		$2,747.00	$4,969.87	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,023.54 / $2,734.58 / $10,772.90	Professional		$2,023.54	$2,734.58	$10,772.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,785.17 / $4,439.79 / $6,115.64	Professional		$2,785.17	$4,439.79	$6,115.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,229.73 / $4,569.60 / $5,201.89	Professional		$3,229.73	$4,569.60	$5,201.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,734.58 / $4,064.84 / $6,126.55	Facility		$2,734.58	$4,064.84	$6,126.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,326.12 / $4,294.56 / $6,611.92	Professional		$3,326.12	$4,294.56	$6,611.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,164.75 / $3,934.39 / $4,376.43	Facility		$3,164.75	$3,934.39	$4,376.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,734.58 / $4,467.63 / $5,879.35	Facility		$2,734.58	$4,467.63	$5,879.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,583.46 / $4,810.68 / $6,369.47	Professional		$3,583.46	$4,810.68	$6,369.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,600.13 / $11,600.13 / $11,600.13	Facility		$11,600.13	$11,600.13	$11,600.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,812.57 / $5,015.60 / $6,606.89	Professional		$3,812.57	$5,015.60	$6,606.89
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 $3,129.36 / $4,537.39 / $6,533.76	Professional		$3,129.36	$4,537.39	$6,533.76