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 $2,031.47 / $2,946.29 / $11,592.00	Professional		$2,031.47	$2,946.29	$11,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,994.11 / $4,598.33 / $6,584.71	Professional		$2,994.11	$4,598.33	$6,584.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,476.82 / $4,920.75 / $5,601.62	Professional		$3,476.82	$4,920.75	$5,601.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,946.29 / $4,337.34 / $6,393.12	Facility		$2,946.29	$4,337.34	$6,393.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,580.17 / $4,420.47 / $7,116.94	Professional		$3,580.17	$4,420.47	$7,116.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,092.88 / $4,140.91 / $4,700.05	Facility		$3,092.88	$4,140.91	$4,700.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,946.29 / $4,594.74 / $6,334.52	Facility		$2,946.29	$4,594.74	$6,334.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,852.67 / $5,182.10 / $6,859.59	Professional		$3,852.67	$5,182.10	$6,859.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,832.58 / $11,832.58 / $11,832.58	Facility		$11,832.58	$11,832.58	$11,832.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,104.71 / $5,399.93 / $7,113.15	Professional		$4,104.71	$5,399.93	$7,113.15
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 $3,366.00 / $5,071.68 / $7,100.46	Professional		$3,366.00	$5,071.68	$7,100.46