Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,103.75 / $7,920.26	Facility		$2,747.00	$5,103.75	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,996.32 / $2,811.25 / $11,077.70	Professional		$1,996.32	$2,811.25	$11,077.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,865.91 / $4,379.67 / $6,284.78	Professional		$2,865.91	$4,379.67	$6,284.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,315.39 / $4,686.30 / $5,334.74	Professional		$3,315.39	$4,686.30	$5,334.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,811.25 / $4,111.55 / $6,195.04	Facility		$2,811.25	$4,111.55	$6,195.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,416.85 / $4,283.52 / $6,792.29	Professional		$3,416.85	$4,283.52	$6,792.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,173.79 / $4,038.74 / $4,513.12	Facility		$3,173.79	$4,038.74	$4,513.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,811.25 / $4,455.06 / $6,044.19	Facility		$2,811.25	$4,455.06	$6,044.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,685.63 / $4,935.68 / $6,552.37	Professional		$3,685.63	$4,935.68	$6,552.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,960.35 / $11,960.35 / $11,960.35	Facility		$11,960.35	$11,960.35	$11,960.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,920.20 / $5,157.20 / $6,793.41	Professional		$3,920.20	$5,157.20	$6,793.41
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 $3,284.33 / $4,869.35 / $6,781.29	Professional		$3,284.33	$4,869.35	$6,781.29