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 $2,272.86 / $3,120.19 / $12,292.50	Professional		$2,272.86	$3,120.19	$12,292.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,179.37 / $4,969.03 / $6,980.03	Professional		$3,179.37	$4,969.03	$6,980.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,685.60 / $5,213.28 / $5,934.63	Professional		$3,685.60	$5,213.28	$5,934.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,120.19 / $4,865.93 / $6,836.48	Facility		$3,120.19	$4,865.93	$6,836.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,796.86 / $4,956.14 / $7,547.71	Professional		$3,796.86	$4,956.14	$7,547.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,614.85 / $4,489.74 / $4,998.87	Facility		$3,614.85	$4,489.74	$4,998.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,120.19 / $5,199.80 / $6,836.48	Facility		$3,120.19	$5,199.80	$6,836.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,090.10 / $5,518.50 / $7,269.56	Professional		$4,090.10	$5,518.50	$7,269.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,250.45 / $13,250.45 / $13,250.45	Facility		$13,250.45	$13,250.45	$13,250.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,350.10 / $5,722.76 / $7,538.40	Professional		$4,350.10	$5,722.76	$7,538.40
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 $3,642.09 / $5,152.22 / $7,454.94	Professional		$3,642.09	$5,152.22	$7,454.94