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 $1,266.60 / $2,899.20 / $11,358.30	Professional		$1,266.60	$2,899.20	$11,358.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,662.80 / $4,569.05 / $6,495.22	Professional		$2,662.80	$4,569.05	$6,495.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,444.46 / $4,903.50 / $5,581.99	Professional		$3,444.46	$4,903.50	$5,581.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,126.46 / $3,711.56 / $6,233.28	Facility		$2,126.46	$3,711.56	$6,233.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,245.75 / $4,167.68 / $7,038.45	Professional		$2,245.75	$4,167.68	$7,038.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,291.40 / $4,174.30 / $4,425.35	Facility		$2,291.40	$4,174.30	$4,425.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,126.46 / $4,521.30 / $6,027.51	Facility		$2,126.46	$4,521.30	$6,027.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,590.95 / $5,088.00 / $6,765.06	Professional		$3,590.95	$5,088.00	$6,765.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,396.04 / $11,396.04 / $11,396.04	Facility		$11,396.04	$11,396.04	$11,396.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,045.05 / $5,321.45 / $7,009.77	Professional		$4,045.05	$5,321.45	$7,009.77
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 $3,288.48 / $4,864.00 / $6,997.26	Professional		$3,288.48	$4,864.00	$6,997.26