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 $2,142.12 / $3,002.28 / $11,827.30	Professional		$2,142.12	$3,002.28	$11,827.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,059.07 / $4,679.18 / $6,710.58	Professional		$3,059.07	$4,679.18	$6,710.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,541.04 / $5,006.71 / $5,699.48	Professional		$3,541.04	$5,006.71	$5,699.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,002.28 / $4,407.43 / $6,819.82	Facility		$3,002.28	$4,407.43	$6,819.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,648.50 / $4,715.52 / $7,252.77	Professional		$3,648.50	$4,715.52	$7,252.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,253.60 / $4,273.53 / $4,813.95	Facility		$3,253.60	$4,273.53	$4,813.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,002.28 / $4,776.81 / $6,454.90	Facility		$3,002.28	$4,776.81	$6,454.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,934.66 / $5,273.22 / $6,995.22	Professional		$3,934.66	$5,273.22	$6,995.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,760.68 / $12,760.68 / $12,760.68	Facility		$12,760.68	$12,760.68	$12,760.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,184.66 / $5,505.12 / $7,251.70	Professional		$4,184.66	$5,505.12	$7,251.70
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 $3,505.32 / $5,195.51 / $7,238.78	Professional		$3,505.32	$5,195.51	$7,238.78