Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,385.15 / $7,920.26 / $20,400.00	Facility		$3,385.15	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,474.77 / $2,262.08 / $8,865.75	Professional		$1,474.77	$2,262.08	$8,865.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,266.65 / $3,558.63 / $5,065.39	Professional		$2,266.65	$3,558.63	$5,065.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,685.74 / $3,820.21 / $4,348.81	Professional		$2,685.74	$3,820.21	$4,348.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,656.68 / $3,380.19 / $4,863.47	Facility		$1,656.68	$3,380.19	$4,863.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,762.51 / $3,649.87 / $5,491.54	Professional		$2,762.51	$3,649.87	$5,491.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,324.63 / $3,214.66 / $3,468.00	Facility		$2,324.63	$3,214.66	$3,468.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,262.08 / $3,903.49 / $4,863.47	Facility		$2,262.08	$3,903.49	$4,863.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,983.92 / $4,009.98 / $5,289.05	Professional		$2,983.92	$4,009.98	$5,289.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,158.80 / $4,155.54 / $5,473.95	Professional		$3,158.80	$4,155.54	$5,473.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,619.76 / $3,625.21 / $5,464.19	Professional		$2,619.76	$3,625.21	$5,464.19