Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,118.96 / $2,733.30 / $11,084.60	Professional		$2,118.96	$2,733.30	$11,084.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,917.84 / $4,527.59 / $6,145.14	Professional		$2,917.84	$4,527.59	$6,145.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,349.79 / $4,758.35 / $5,357.44	Professional		$3,349.79	$4,758.35	$5,357.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,733.30 / $4,262.58 / $5,876.60	Facility		$2,733.30	$4,262.58	$5,876.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,212.59 / $3,779.52 / $6,670.27	Professional		$3,212.59	$3,779.52	$6,670.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,933.90 / $3,984.37 / $4,186.83	Facility		$2,933.90	$3,984.37	$4,186.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,733.30 / $4,643.21 / $5,656.34	Facility		$2,733.30	$4,643.21	$5,656.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,713.97 / $4,842.92 / $6,145.14	Professional		$3,713.97	$4,842.92	$6,145.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.54 / $10,762.54 / $10,762.54	Facility		$10,762.54	$10,762.54	$10,762.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,804.58 / $5,127.30 / $6,555.20	Professional		$3,804.58	$5,127.30	$6,555.20
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 $3,230.88 / $4,501.89 / $6,581.27	Professional		$3,230.88	$4,501.89	$6,581.27