Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,098.37 / $7,920.26	Facility		$2,747.00	$5,098.37	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,178.69 / $2,773.56 / $11,044.10	Professional		$2,178.69	$2,773.56	$11,044.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,877.63 / $4,634.20 / $6,305.43	Professional		$2,877.63	$4,634.20	$6,305.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,312.28 / $4,652.06 / $5,295.76	Professional		$3,312.28	$4,652.06	$5,295.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,773.56 / $4,325.37 / $6,292.23	Facility		$2,773.56	$4,325.37	$6,292.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,428.07 / $4,507.77 / $6,814.59	Professional		$3,428.07	$4,507.77	$6,814.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,163.79 / $4,034.96 / $4,383.14	Facility		$3,163.79	$4,034.96	$4,383.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,773.56 / $4,622.14 / $6,292.23	Facility		$2,773.56	$4,622.14	$6,292.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,690.19 / $5,003.70 / $6,572.43	Professional		$3,690.19	$5,003.70	$6,572.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,534.47 / $11,534.47 / $11,534.47	Facility		$11,534.47	$11,534.47	$11,534.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,925.73 / $5,164.49 / $6,803.00	Professional		$3,925.73	$5,164.49	$6,803.00
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 $3,315.52 / $4,686.47 / $6,790.87	Professional		$3,315.52	$4,686.47	$6,790.87