Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,360.54 / $7,920.26	Facility		$2,747.00	$5,360.54	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,375.42 / $3,277.03 / $12,947.30	Professional		$2,375.42	$3,277.03	$12,947.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,340.23 / $5,091.49 / $7,336.01	Professional		$3,340.23	$5,091.49	$7,336.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,861.27 / $5,443.78 / $6,197.03	Professional		$3,861.27	$5,443.78	$6,197.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,360.76 / $4,686.14 / $7,045.61	Facility		$2,360.76	$4,686.14	$7,045.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,985.26 / $5,675.98 / $7,922.22	Professional		$3,985.26	$5,675.98	$7,922.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,060.76 / $4,703.72 / $4,998.20	Facility		$3,060.76	$4,703.72	$4,998.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,360.76 / $5,110.53 / $7,045.61	Facility		$2,360.76	$5,110.53	$7,045.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,381.56 / $5,930.70 / $7,670.41	Professional		$4,381.56	$5,930.70	$7,670.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,580.13 / $6,025.37 / $7,937.01	Professional		$4,580.13	$6,025.37	$7,937.01
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 $3,777.07 / $5,184.22 / $7,849.14	Professional		$3,777.07	$5,184.22	$7,849.14