Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,943.13 / $2,813.38 / $10,945.20	Professional		$1,943.13	$2,813.38	$10,945.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,973.27 / $4,786.68 / $6,549.31	Professional		$2,973.27	$4,786.68	$6,549.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,406.51 / $4,889.13 / $5,504.67	Professional		$3,406.51	$4,889.13	$5,504.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,813.38 / $4,358.50 / $6,048.77	Facility		$2,813.38	$4,358.50	$6,048.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,306.33 / $3,824.97 / $7,095.72	Professional		$3,306.33	$3,824.97	$7,095.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,029.15 / $4,149.75 / $4,462.20	Facility		$3,029.15	$4,149.75	$4,462.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,813.38 / $4,688.50 / $6,033.99	Facility		$2,813.38	$4,688.50	$6,033.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,788.88 / $5,133.83 / $6,549.31	Professional		$3,788.88	$5,133.83	$6,549.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,317.98 / $11,317.98 / $11,317.98	Facility		$11,317.98	$11,317.98	$11,317.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,060.42 / $5,464.53 / $6,986.34	Professional		$4,060.42	$5,464.53	$6,986.34
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 $3,286.92 / $5,157.93 / $7,023.85	Professional		$3,286.92	$5,157.93	$7,023.85