Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,793.39 / $7,920.26	Facility		$2,747.00	$5,793.39	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,919.12 / $3,522.83 / $13,948.10	Professional		$1,919.12	$3,522.83	$13,948.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,603.64 / $5,535.47 / $7,920.14	Professional		$3,603.64	$5,535.47	$7,920.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,184.64 / $5,920.61 / $6,739.83	Professional		$4,184.64	$5,920.61	$6,739.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,048.88 / $4,509.93 / $7,799.11	Facility		$3,048.88	$4,509.93	$7,799.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,515.20 / $5,392.64 / $8,555.62	Professional		$3,515.20	$5,392.64	$8,555.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,278.28 / $5,097.66 / $5,420.96	Facility		$3,278.28	$5,097.66	$5,420.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,048.88 / $5,493.85 / $7,574.08	Facility		$3,048.88	$5,493.85	$7,574.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,384.60 / $6,238.21 / $8,207.67	Professional		$4,384.60	$6,238.21	$8,207.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,222.86 / $14,222.86 / $14,222.86	Facility		$14,222.86	$14,222.86	$14,222.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,933.16 / $6,489.79 / $8,548.78	Professional		$4,933.16	$6,489.79	$8,548.78
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 $4,134.52 / $5,763.60 / $8,454.12	Professional		$4,134.52	$5,763.60	$8,454.12