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 $1,525.31 / $3,042.14 / $11,921.30	Professional		$1,525.31	$3,042.14	$11,921.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,046.67 / $4,791.97 / $6,814.82	Professional		$3,046.67	$4,791.97	$6,814.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,613.51 / $5,143.00 / $5,854.62	Professional		$3,613.51	$5,143.00	$5,854.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,417.27 / $3,894.55 / $6,540.60	Facility		$2,417.27	$3,894.55	$6,540.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,703.35 / $4,372.47 / $7,385.38	Professional		$2,703.35	$4,372.47	$7,385.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,701.23 / $4,182.14 / $4,643.10	Facility		$2,701.23	$4,182.14	$4,643.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,417.27 / $4,744.22 / $6,323.70	Facility		$2,417.27	$4,744.22	$6,323.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,769.70 / $5,342.40 / $7,101.05	Professional		$3,769.70	$5,342.40	$7,101.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,999.41 / $11,999.41 / $11,999.41	Facility		$11,999.41	$11,999.41	$11,999.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,244.32 / $5,583.60 / $7,355.09	Professional		$4,244.32	$5,583.60	$7,355.09
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 $3,520.41 / $4,953.89 / $7,273.67	Professional		$3,520.41	$4,953.89	$7,273.67