Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,429.93 / $7,920.26	Facility		$2,747.00	$4,429.93	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,787.99 / $2,410.31 / $9,588.99	Professional		$1,787.99	$2,410.31	$9,588.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,498.55 / $3,944.86 / $5,477.42	Professional		$2,498.55	$3,944.86	$5,477.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,878.25 / $4,044.14 / $4,603.72	Professional		$2,878.25	$4,044.14	$4,603.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,410.31 / $3,703.16 / $5,182.17	Facility		$2,410.31	$3,703.16	$5,182.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,978.13 / $3,934.75 / $5,920.17	Professional		$2,978.13	$3,934.75	$5,920.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,710.20 / $3,506.23 / $3,763.39	Facility		$2,710.20	$3,506.23	$3,763.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,410.31 / $4,016.78 / $5,182.17	Facility		$2,410.31	$4,016.78	$5,182.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,204.49 / $4,344.21 / $5,711.35	Professional		$3,204.49	$4,344.21	$5,711.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,070.45 / $10,070.45 / $10,070.45	Facility		$10,070.45	$10,070.45	$10,070.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,410.34 / $4,486.46 / $5,909.86	Professional		$3,410.34	$4,486.46	$5,909.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $10,234.00 / $36,803.00	Facility		$2,446.00	$10,234.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,877.17 / $4,067.27 / $5,899.33	Professional		$2,877.17	$4,067.27	$5,899.33