Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,483.62 / $2,956.17 / $11,766.80	Professional		$2,483.62	$2,956.17	$11,766.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,062.49 / $4,938.81 / $6,717.46	Professional		$3,062.49	$4,938.81	$6,717.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,529.61 / $4,957.04 / $5,642.94	Professional		$3,529.61	$4,957.04	$5,642.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,956.17 / $4,610.14 / $6,697.64	Facility		$2,956.17	$4,610.14	$6,697.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,653.30 / $4,826.78 / $7,262.31	Professional		$3,653.30	$4,826.78	$7,262.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,339.66 / $4,299.71 / $4,647.80	Facility		$3,339.66	$4,299.71	$4,647.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,956.17 / $5,056.88 / $6,697.64	Facility		$2,956.17	$5,056.88	$6,697.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,927.17 / $5,331.30 / $7,007.09	Professional		$3,927.17	$5,331.30	$7,007.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,336.53 / $12,336.53 / $12,336.53	Facility		$12,336.53	$12,336.53	$12,336.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,184.05 / $5,504.31 / $7,250.64	Professional		$4,184.05	$5,504.31	$7,250.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $8,571.00 / $36,803.00	Facility		$2,446.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,532.89 / $5,266.04 / $7,551.34	Professional		$3,532.89	$5,266.04	$7,551.34