Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,850.30 / $7,920.26	Facility		$2,747.00	$4,850.30	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,216.32 / $2,639.37 / $10,503.00	Professional		$2,216.32	$2,639.37	$10,503.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,736.31 / $4,407.85 / $5,998.61	Professional		$2,736.31	$4,407.85	$5,998.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,150.66 / $4,425.71 / $5,038.08	Professional		$3,150.66	$4,425.71	$5,038.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,639.37 / $4,116.10 / $5,982.15	Facility		$2,639.37	$4,116.10	$5,982.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,260.48 / $4,307.79 / $6,481.44	Professional		$3,260.48	$4,307.79	$6,481.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,179.12 / $3,970.05 / $4,594.17	Facility		$3,179.12	$3,970.05	$4,594.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,639.37 / $4,511.60 / $5,982.15	Facility		$2,639.37	$4,511.60	$5,982.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,509.31 / $4,758.00 / $6,252.10	Professional		$3,509.31	$4,758.00	$6,252.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,513.15 / $11,513.15 / $11,513.15	Facility		$11,513.15	$11,513.15	$11,513.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,733.23 / $4,911.24 / $6,469.41	Professional		$3,733.23	$4,911.24	$6,469.41
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 $3,152.24 / $4,703.10 / $6,457.86	Professional		$3,152.24	$4,703.10	$6,457.86