Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $7,943.28 / $8,912.51	Facility		$5,248.07	$7,943.28	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $9,549.93	Professional		$3,162.28	$4,073.80	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $15,848.93	Professional		$13,182.57	$13,182.57	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,760.83 / $8,317.64	Professional		$5,011.87	$6,760.83	$8,317.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,897.79 / $8,317.64	Facility		$3,467.37	$4,897.79	$8,317.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,309.57 / $8,709.64	Professional		$5,248.07	$6,309.57	$8,709.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $6,760.83 / $7,244.36	Facility		$5,495.41	$6,760.83	$7,244.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $8,128.31	Facility		$3,311.31	$4,897.79	$8,128.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $6,918.31 / $9,549.93	Professional		$79.43	$6,918.31	$9,549.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Facility		$18,197.01	$18,197.01	$18,197.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $9,549.93	Professional		$6,456.54	$7,585.78	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,918.31 / $10,000.00	Professional		$3,981.07	$6,918.31	$10,000.00