Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,037.27 / $7,920.26	Facility		$2,747.00	$5,037.27	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,879.23 / $2,709.26 / $10,537.60	Professional		$1,879.23	$2,709.26	$10,537.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,861.81 / $4,608.56 / $6,307.39	Professional		$2,861.81	$4,608.56	$6,307.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,281.21 / $4,710.54 / $5,303.59	Professional		$3,281.21	$4,710.54	$5,303.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,709.26 / $4,160.91 / $5,824.91	Facility		$2,709.26	$4,160.91	$5,824.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,205.74 / $3,673.80 / $6,832.60	Professional		$3,205.74	$3,673.80	$6,832.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,894.32 / $3,907.80 / $4,297.38	Facility		$2,894.32	$3,907.80	$4,297.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,709.26 / $4,514.97 / $5,807.21	Facility		$2,709.26	$4,514.97	$5,807.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,646.86 / $4,939.14 / $6,307.39	Professional		$3,646.86	$4,939.14	$6,307.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,041.12 / $11,041.12 / $11,041.12	Facility		$11,041.12	$11,041.12	$11,041.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,910.98 / $5,262.69 / $6,728.29	Professional		$3,910.98	$5,262.69	$6,728.29
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 $3,236.73 / $4,757.60 / $6,702.40	Professional		$3,236.73	$4,757.60	$6,702.40