Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,149.09 / $3,448.52 / $11,967.00	Professional		$2,149.09	$3,448.52	$11,967.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.06 / $4,761.92 / $6,808.92	Professional		$3,090.06	$4,761.92	$6,808.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,598.26 / $5,097.57 / $5,802.91	Professional		$3,598.26	$5,097.57	$5,802.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,042.82 / $4,467.06 / $6,601.38	Facility		$3,042.82	$4,467.06	$6,601.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,702.93 / $4,564.47 / $7,360.98	Professional		$3,702.93	$4,564.47	$7,360.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,280.06 / $4,380.78 / $4,699.50	Facility		$3,280.06	$4,380.78	$4,699.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,042.82 / $4,818.70 / $6,542.06	Facility		$3,042.82	$4,818.70	$6,542.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,978.01 / $5,366.46 / $7,081.53	Professional		$3,978.01	$5,366.46	$7,081.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,829.87 / $12,829.87 / $12,829.87	Facility		$12,829.87	$12,829.87	$12,829.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,240.02 / $5,577.94 / $7,347.63	Professional		$4,240.02	$5,577.94	$7,347.63
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 $3,471.06 / $5,295.43 / $7,334.51	Professional		$3,471.06	$5,295.43	$7,334.51