Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $13,656.60	Facility		$2,747.00	$7,920.26	$13,656.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,046.81 / $5,697.48 / $17,539.30	Professional		$5,046.81	$5,697.48	$17,539.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,832.96 / $12,513.52 / $16,815.79	Professional		$7,832.96	$12,513.52	$16,815.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,870.01 / $12,536.11 / $14,114.40	Professional		$8,870.01	$12,536.11	$14,114.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,697.48 / $11,163.55 / $16,773.72	Facility		$5,697.48	$11,163.55	$16,773.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9,141.51 / $10,323.60 / $18,172.22	Professional		$9,141.51	$10,323.60	$18,172.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,226.52 / $10,805.27 / $11,686.51	Facility		$7,226.52	$10,805.27	$11,686.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,697.48 / $12,291.04 / $14,726.25	Facility		$5,697.48	$12,291.04	$14,726.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $9,981.66 / $13,594.50 / $16,968.59	Professional		$9,981.66	$13,594.50	$16,968.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31,639.93 / $31,639.93 / $31,639.93	Facility		$31,639.93	$31,639.93	$31,639.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10,491.80 / $14,030.55 / $17,937.90	Professional		$10,491.80	$14,030.55	$17,937.90
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 $8,833.20 / $12,846.24 / $17,980.20	Professional		$8,833.20	$12,846.24	$17,980.20