Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,213.00 / $4,704.00 / $8,728.00	Facility		$3,213.00	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,597.00 / $2,000.44 / $8,930.48	Professional		$1,597.00	$2,000.44	$8,930.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,384.01 / $3,777.53 / $5,138.16	Professional		$2,384.01	$3,777.53	$5,138.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,768.49 / $3,965.14 / $4,464.35	Professional		$2,768.49	$3,965.14	$4,464.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.44 / $3,333.73 / $4,471.57	Facility		$2,000.44	$3,333.73	$4,471.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,537.58 / $2,960.51 / $5,548.84	Professional		$2,537.58	$2,960.51	$5,548.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,332.40 / $3,214.52 / $3,500.75	Facility		$2,332.40	$3,214.52	$3,500.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,000.44 / $3,720.70 / $4,436.38	Facility		$2,000.44	$3,720.70	$4,436.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,974.58 / $4,002.96 / $5,138.16	Professional		$2,974.58	$4,002.96	$5,138.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,179.71 / $4,287.10 / $5,481.03	Professional		$3,179.71	$4,287.10	$5,481.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,615.02 / $3,672.62 / $5,500.36	Professional		$2,615.02	$3,672.62	$5,500.36