Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,447.62 / $7,920.26	Facility		$2,747.00	$6,447.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,767.52 / $3,416.77 / $9,203.83	Professional		$2,767.52	$3,416.77	$9,203.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,958.38 / $6,419.30 / $8,638.99	Professional		$3,958.38	$6,419.30	$8,638.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,671.93 / $6,679.19 / $7,520.10	Professional		$4,671.93	$6,679.19	$7,520.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,386.67 / $5,643.89 / $7,798.18	Facility		$3,386.67	$5,643.89	$7,798.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,295.22 / $5,027.39 / $9,378.93	Professional		$4,295.22	$5,027.39	$9,378.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,968.67 / $5,428.01 / $5,885.95	Facility		$3,968.67	$5,428.01	$5,885.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,386.67 / $6,253.34 / $7,515.24	Facility		$3,386.67	$6,253.34	$7,515.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,044.22 / $6,802.38 / $8,699.20	Professional		$5,044.22	$6,802.38	$8,699.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,831.53 / $14,831.53 / $14,831.53	Facility		$14,831.53	$14,831.53	$14,831.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,386.43 / $7,208.09 / $9,215.46	Professional		$5,386.43	$7,208.09	$9,215.46
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 $4,457.81 / $6,943.67 / $9,721.37	Professional		$4,457.81	$6,943.67	$9,721.37