Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,079.32 / $7,920.26	Facility		$2,747.00	$5,079.32	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,900.93 / $2,734.44 / $10,644.50	Professional		$1,900.93	$2,734.44	$10,644.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,896.25 / $4,647.57 / $6,360.50	Professional		$2,896.25	$4,647.57	$6,360.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,308.81 / $4,749.83 / $5,347.83	Professional		$3,308.81	$4,749.83	$5,347.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,734.44 / $4,214.33 / $5,880.34	Facility		$2,734.44	$4,214.33	$5,880.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,222.18 / $3,723.60 / $6,890.98	Professional		$3,222.18	$3,723.60	$6,890.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $4,007.20 / $4,333.56	Facility		$3,006.81	$4,007.20	$4,333.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,734.44 / $4,556.93 / $5,879.05	Facility		$2,734.44	$4,556.93	$5,879.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,684.22 / $4,987.88 / $6,360.50	Professional		$3,684.22	$4,987.88	$6,360.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,957.76 / $10,957.76 / $10,957.76	Facility		$10,957.76	$10,957.76	$10,957.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,944.19 / $5,306.99 / $6,784.93	Professional		$3,944.19	$5,306.99	$6,784.93
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 $3,256.33 / $4,573.64 / $6,822.80	Professional		$3,256.33	$4,573.64	$6,822.80