Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,082.60 / $7,920.26	Facility		$2,747.00	$5,082.60	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,413.01 / $2,786.43 / $10,919.30	Professional		$1,413.01	$2,786.43	$10,919.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,793.37 / $4,392.12 / $6,243.48	Professional		$2,793.37	$4,392.12	$6,243.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,311.44 / $4,714.41 / $5,366.74	Professional		$3,311.44	$4,714.41	$5,366.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,243.73 / $3,567.19 / $5,990.82	Facility		$2,243.73	$3,567.19	$5,990.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,591.82 / $4,351.97 / $6,766.84	Professional		$2,591.82	$4,351.97	$6,766.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,492.00 / $3,927.95 / $4,253.83	Facility		$2,492.00	$3,927.95	$4,253.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,243.73 / $4,345.43 / $5,797.96	Facility		$2,243.73	$4,345.43	$5,797.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,451.80 / $4,895.60 / $6,499.97	Professional		$3,451.80	$4,895.60	$6,499.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,507.00 / $10,507.00 / $10,507.00	Facility		$10,507.00	$10,507.00	$10,507.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,886.99 / $5,113.51 / $6,735.86	Professional		$3,886.99	$5,113.51	$6,735.86
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 $3,161.49 / $4,433.75 / $6,723.84	Professional		$3,161.49	$4,433.75	$6,723.84