Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,799.60 / $7,920.26	Facility		$2,747.00	$4,799.60	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,792.80 / $2,583.91 / $10,048.90	Professional		$1,792.80	$2,583.91	$10,048.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,734.31 / $4,389.21 / $6,007.46	Professional		$2,734.31	$4,389.21	$6,007.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,127.38 / $4,491.31 / $5,056.77	Professional		$3,127.38	$4,491.31	$5,056.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,583.91 / $3,998.22 / $5,555.41	Facility		$2,583.91	$3,998.22	$5,555.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,041.64 / $3,518.76 / $6,510.08	Professional		$3,041.64	$3,518.76	$6,510.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,870.66 / $3,792.00 / $4,093.03	Facility		$2,870.66	$3,792.00	$4,093.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,583.91 / $4,306.09 / $5,548.97	Facility		$2,583.91	$4,306.09	$5,548.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,481.28 / $4,714.28 / $6,007.46	Professional		$3,481.28	$4,714.28	$6,007.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,460.85 / $10,460.85 / $10,460.85	Facility		$10,460.85	$10,460.85	$10,460.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,724.62 / $5,012.43 / $6,408.34	Professional		$3,724.62	$5,012.43	$6,408.34
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 $3,071.35 / $4,541.01 / $6,442.97	Professional		$3,071.35	$4,541.01	$6,442.97