Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,985.68 / $7,920.26	Facility		$2,747.00	$4,985.68	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,859.01 / $2,681.75 / $10,426.00	Professional		$1,859.01	$2,681.75	$10,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,831.39 / $4,559.97 / $6,242.49	Professional		$2,831.39	$4,559.97	$6,242.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,247.78 / $4,662.92 / $5,249.98	Professional		$3,247.78	$4,662.92	$5,249.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,681.75 / $4,134.64 / $5,765.76	Facility		$2,681.75	$4,134.64	$5,765.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,149.76 / $3,643.84 / $6,762.61	Professional		$3,149.76	$3,643.84	$6,762.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,951.45 / $3,914.88 / $4,253.16	Facility		$2,951.45	$3,914.88	$4,253.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,681.75 / $4,469.14 / $5,747.05	Facility		$2,681.75	$4,469.14	$5,747.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,608.08 / $4,886.28 / $6,242.49	Professional		$3,608.08	$4,886.28	$6,242.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,805.11 / $10,805.11 / $10,805.11	Facility		$10,805.11	$10,805.11	$10,805.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,871.00 / $5,208.53 / $6,659.05	Professional		$3,871.00	$5,208.53	$6,659.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $8,571.00 / $36,803.00	Facility		$2,446.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,128.84 / $4,471.43 / $6,696.18	Professional		$3,128.84	$4,471.43	$6,696.18