Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,536.83 / $7,920.26	Facility		$2,747.00	$4,536.83	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,685.78 / $2,508.89 / $9,920.45	Professional		$1,685.78	$2,508.89	$9,920.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,582.73 / $3,880.72 / $5,577.73	Professional		$2,582.73	$3,880.72	$5,577.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,951.28 / $4,158.75 / $4,734.18	Professional		$2,951.28	$4,158.75	$4,734.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,803.49 / $3,714.40 / $5,498.99	Facility		$1,803.49	$3,714.40	$5,498.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,036.86 / $4,054.02 / $6,036.91	Professional		$3,036.86	$4,054.02	$6,036.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,697.50 / $3,595.20 / $3,873.28	Facility		$2,697.50	$3,595.20	$3,873.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,508.89 / $4,589.14 / $5,498.99	Facility		$2,508.89	$4,589.14	$5,498.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,387.68 / $4,457.70 / $5,848.34	Professional		$3,387.68	$4,457.70	$5,848.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,267.45 / $10,267.45 / $10,267.45	Facility		$10,267.45	$10,267.45	$10,267.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,491.53 / $4,593.26 / $6,050.55	Professional		$3,491.53	$4,593.26	$6,050.55
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 $3,006.16 / $4,190.92 / $5,983.57	Professional		$3,006.16	$4,190.92	$5,983.57