Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,438.62 / $7,920.26 / $20,400.00	Facility		$3,438.62	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.18 / $2,000.44 / $8,930.48	Professional		$1,608.18	$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 $2,600.21 / $2,960.51 / $5,548.84	Professional		$2,600.21	$2,960.51	$5,548.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,239.84 / $3,097.41 / $3,500.75	Facility		$2,239.84	$3,097.41	$3,500.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,000.44 / $3,565.49 / $4,436.38	Facility		$2,000.44	$3,565.49	$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 $8,123.81 / $8,123.81 / $8,123.81	Facility		$8,123.81	$8,123.81	$8,123.81
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,565.67 / $3,643.76 / $5,500.36	Professional		$2,565.67	$3,643.76	$5,500.36