Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,815.93 / $7,920.26	Facility		$2,747.00	$4,815.93	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,817.60 / $2,592.31 / $10,108.70	Professional		$1,817.60	$2,592.31	$10,108.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,757.36 / $4,408.35 / $6,035.00	Professional		$2,757.36	$4,408.35	$6,035.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,138.15 / $4,502.06 / $5,068.85	Professional		$3,138.15	$4,502.06	$5,068.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,592.31 / $4,042.71 / $5,723.91	Facility		$2,592.31	$4,042.71	$5,723.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,076.45 / $3,571.20 / $6,539.80	Professional		$3,076.45	$3,571.20	$6,539.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,532.00 / $3,569.77 / $4,111.79	Facility		$2,532.00	$3,569.77	$4,111.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,592.31 / $4,320.08 / $5,573.47	Facility		$2,592.31	$4,320.08	$5,573.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,492.06 / $4,711.56 / $6,035.00	Professional		$3,492.06	$4,711.56	$6,035.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,408.54 / $9,408.54 / $9,408.54	Facility		$9,408.54	$9,408.54	$9,408.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,741.84 / $5,035.41 / $6,437.71	Professional		$3,741.84	$5,035.41	$6,437.71
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 $3,095.20 / $4,614.72 / $6,472.77	Professional		$3,095.20	$4,614.72	$6,472.77