Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,959.88 / $7,920.26	Facility		$2,747.00	$4,959.88	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,044.03 / $2,610.66 / $10,429.60	Professional		$2,044.03	$2,610.66	$10,429.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,735.57 / $4,466.50 / $6,050.73	Professional		$2,735.57	$4,466.50	$6,050.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,243.28 / $4,665.10 / $5,252.45	Professional		$3,243.28	$4,665.10	$5,252.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,145.27 / $4,081.90 / $5,612.92	Facility		$2,145.27	$4,081.90	$5,612.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,036.03 / $3,512.43 / $6,583.29	Professional		$3,036.03	$3,512.43	$6,583.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,533.98 / $3,730.46 / $4,122.51	Facility		$2,533.98	$3,730.46	$4,122.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,610.66 / $4,399.30 / $5,478.63	Facility		$2,610.66	$4,399.30	$5,478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,488.76 / $4,733.04 / $6,052.83	Professional		$3,488.76	$4,733.04	$6,052.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,205.36 / $10,205.36 / $10,205.36	Facility		$10,205.36	$10,205.36	$10,205.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,748.61 / $5,048.54 / $6,454.50	Professional		$3,748.61	$5,048.54	$6,454.50
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 $3,040.45 / $4,771.16 / $6,424.12	Professional		$3,040.45	$4,771.16	$6,424.12