Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.79 / $2,480.17 / $2,480.17	Professional		$1,091.79	$2,480.17	$2,480.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,768.33 / $4,378.87 / $6,058.37	Professional		$2,768.33	$4,378.87	$6,058.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,387.48 / $4,139.58 / $4,967.60	Professional		$3,387.48	$4,139.58	$4,967.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,638.03 / $2,604.17 / $5,332.37	Facility		$1,638.03	$2,604.17	$5,332.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,012.95 / $1,520.30 / $1,688.25	Facility		$1,012.95	$1,520.30	$1,688.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,638.03 / $3,175.11 / $5,332.37	Facility		$1,638.03	$3,175.11	$5,332.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,965.64 / $4,178.84 / $6,023.57	Professional		$1,965.64	$4,178.84	$6,023.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,341.45 / $4,395.84 / $5,790.49	Professional		$3,341.45	$4,395.84	$5,790.49
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 $2,413.37 / $3,787.13 / $5,292.09	Professional		$2,413.37	$3,787.13	$5,292.09