Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,584.10 / $7,920.26	Facility		$2,747.00	$5,584.10	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,604.69 / $3,392.29 / $13,557.30	Professional		$1,604.69	$3,392.29	$13,557.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,457.92 / $5,273.12 / $7,525.80	Professional		$3,457.92	$5,273.12	$7,525.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,996.07 / $5,656.71 / $6,439.42	Professional		$3,996.07	$5,656.71	$6,439.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,453.10 / $4,342.81 / $7,396.47	Facility		$2,453.10	$4,342.81	$7,396.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,904.20 / $5,114.24 / $8,152.47	Professional		$2,904.20	$5,114.24	$8,152.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,948.04 / $4,867.93 / $5,189.14	Facility		$2,948.04	$4,867.93	$5,189.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,453.10 / $5,290.28 / $7,293.42	Facility		$2,453.10	$5,290.28	$7,293.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,208.05 / $6,018.48 / $7,928.19	Professional		$4,208.05	$6,018.48	$7,928.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,591.14 / $13,591.14 / $13,591.14	Facility		$13,591.14	$13,591.14	$13,591.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,754.18 / $6,254.34 / $8,238.62	Professional		$4,754.18	$6,254.34	$8,238.62
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 $4,013.37 / $5,829.21 / $8,223.94	Professional		$4,013.37	$5,829.21	$8,223.94