Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,492.03 / $7,920.26	Facility		$2,747.00	$4,492.03	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,708.00 / $2,442.17 / $9,738.49	Professional		$1,708.00	$2,442.17	$9,738.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,538.79 / $4,090.03 / $5,549.21	Professional		$2,538.79	$4,090.03	$5,549.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,928.95 / $4,122.29 / $4,692.68	Professional		$2,928.95	$4,122.29	$4,692.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,442.17 / $3,743.25 / $5,436.05	Facility		$2,442.17	$3,743.25	$5,436.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,027.78 / $3,892.98 / $6,018.87	Professional		$3,027.78	$3,892.98	$6,018.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,703.03 / $3,567.99 / $3,786.84	Facility		$2,703.03	$3,567.99	$3,786.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,442.17 / $4,069.88 / $5,250.67	Facility		$2,442.17	$4,069.88	$5,250.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,259.10 / $4,398.42 / $5,786.54	Professional		$3,259.10	$4,398.42	$5,786.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,978.21 / $9,978.21 / $9,978.21	Facility		$9,978.21	$9,978.21	$9,978.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,455.24 / $4,545.52 / $5,987.66	Professional		$3,455.24	$4,545.52	$5,987.66
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 $2,858.04 / $4,050.00 / $5,976.97	Professional		$2,858.04	$4,050.00	$5,976.97