Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,637.66 / $7,920.26	Facility		$2,747.00	$4,637.66	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.33 / $2,545.51 / $9,996.45	Professional		$1,808.33	$2,545.51	$9,996.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,578.76 / $3,996.97 / $5,694.75	Professional		$2,578.76	$3,996.97	$5,694.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,016.81 / $4,283.09 / $4,875.72	Professional		$3,016.81	$4,283.09	$4,875.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,545.51 / $3,700.02 / $5,677.63	Facility		$2,545.51	$3,700.02	$5,677.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,100.37 / $3,874.68 / $6,163.15	Professional		$3,100.37	$3,874.68	$6,163.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,730.77 / $3,675.03 / $4,016.65	Facility		$2,730.77	$3,675.03	$4,016.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,545.51 / $4,015.63 / $5,472.85	Facility		$2,545.51	$4,015.63	$5,472.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,323.18 / $4,488.89 / $5,913.26	Professional		$3,323.18	$4,488.89	$5,913.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,647.21 / $10,647.21 / $10,647.21	Facility		$10,647.21	$10,647.21	$10,647.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,542.57 / $4,660.42 / $6,139.01	Professional		$3,542.57	$4,660.42	$6,139.01
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 $2,892.21 / $4,464.85 / $6,128.05	Professional		$2,892.21	$4,464.85	$6,128.05