Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,470.97 / $7,920.26	Facility		$2,747.00	$5,470.97	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,339.03 / $3,305.88 / $12,196.66	Professional		$2,339.03	$3,305.88	$12,196.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,501.43 / $5,629.01 / $7,701.83	Professional		$3,501.43	$5,629.01	$7,701.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,001.25 / $5,736.75 / $6,459.01	Professional		$4,001.25	$5,736.75	$6,459.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,305.88 / $5,148.03 / $7,114.16	Facility		$3,305.88	$5,148.03	$7,114.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,931.42 / $4,512.95 / $8,344.48	Professional		$3,931.42	$4,512.95	$8,344.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,642.96 / $4,812.16 / $5,247.44	Facility		$3,642.96	$4,812.16	$5,247.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,305.88 / $5,509.25 / $7,107.64	Facility		$3,305.88	$5,509.25	$7,107.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,461.93 / $6,024.37 / $7,701.83	Professional		$4,461.93	$6,024.37	$7,701.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,541.48 / $13,541.48 / $13,541.48	Facility		$13,541.48	$13,541.48	$13,541.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,778.79 / $6,426.16 / $8,215.77	Professional		$4,778.79	$6,426.16	$8,215.77
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 $3,953.80 / $5,604.93 / $8,266.51	Professional		$3,953.80	$5,604.93	$8,266.51