Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $11,220.18 / $13,803.84	Facility		$5,754.40	$11,220.18	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,888.44 / $15,848.93	Professional		$5,248.07	$5,888.44	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $11,748.98 / $16,982.44	Professional		$6,309.57	$11,748.98	$16,982.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $10,964.78 / $14,125.38	Professional		$8,317.64	$10,964.78	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $8,128.31 / $14,454.40	Facility		$5,754.40	$8,128.31	$14,454.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,471.29 / $14,791.08	Professional		$8,912.51	$10,471.29	$14,791.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $10,715.19 / $11,481.54	Facility		$8,709.64	$10,715.19	$11,481.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,762.47 / $14,125.38	Facility		$5,495.41	$7,762.47	$14,125.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $11,220.18 / $15,848.93	Professional		$79.43	$11,220.18	$15,848.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31,622.78 / $31,622.78 / $31,622.78	Facility		$31,622.78	$31,622.78	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $12,589.25 / $15,488.17	Professional		$10,964.78	$12,589.25	$15,488.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $12,022.64 / $16,595.87	Professional		$7,413.10	$12,022.64	$16,595.87