Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,807.26 / $7,920.26	Facility		$2,747.00	$6,807.26	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,046.68 / $4,164.74 / $16,423.30	Professional		$3,046.68	$4,164.74	$16,423.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,244.16 / $6,627.56 / $9,313.59	Professional		$4,244.16	$6,627.56	$9,313.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,916.47 / $6,951.02 / $7,912.82	Professional		$4,916.47	$6,951.02	$7,912.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,164.74 / $6,231.24 / $8,965.36	Facility		$4,164.74	$6,231.24	$8,965.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,622.62 / $6,622.62 / $6,622.62	Professional		$6,622.62	$6,622.62	$6,622.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,565.93 / $5,989.17 / $6,426.00	Facility		$4,565.93	$5,989.17	$6,426.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,164.74 / $6,940.54 / $8,965.36	Facility		$4,164.74	$6,940.54	$8,965.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,459.16 / $7,371.00 / $9,709.87	Professional		$5,459.16	$7,371.00	$9,709.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,795.97 / $16,795.97 / $16,795.97	Facility		$16,795.97	$16,795.97	$16,795.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,808.35 / $7,641.14 / $10,065.42	Professional		$5,808.35	$7,641.14	$10,065.42
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 $4,870.32 / $6,815.53 / $9,953.99	Professional		$4,870.32	$6,815.53	$9,953.99