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 $1,437.27 / $2,822.96 / $11,057.50	Professional		$1,437.27	$2,822.96	$11,057.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,826.81 / $4,448.43 / $6,324.11	Professional		$2,826.81	$4,448.43	$6,324.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,354.39 / $4,775.31 / $5,436.06	Professional		$3,354.39	$4,775.31	$5,436.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,272.87 / $3,613.95 / $6,069.36	Facility		$2,272.87	$3,613.95	$6,069.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,643.30 / $4,273.57 / $6,854.90	Professional		$2,643.30	$4,273.57	$6,854.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,508.08 / $3,995.31 / $4,308.77	Facility		$2,508.08	$3,995.31	$4,308.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,272.87 / $4,402.41 / $5,882.19	Facility		$2,272.87	$4,402.41	$5,882.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,496.90 / $4,953.64 / $6,588.33	Professional		$3,496.90	$4,953.64	$6,588.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,094.35 / $11,094.35 / $11,094.35	Facility		$11,094.35	$11,094.35	$11,094.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,938.65 / $5,181.47 / $6,825.38	Professional		$3,938.65	$5,181.47	$6,825.38
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 $3,201.27 / $4,735.57 / $6,813.22	Professional		$3,201.27	$4,735.57	$6,813.22