Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,637.03 / $7,920.26	Facility		$2,747.00	$5,637.03	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,386.42 / $3,406.27 / $13,307.00	Professional		$2,386.42	$3,406.27	$13,307.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,621.17 / $5,794.89 / $7,940.79	Professional		$3,621.17	$5,794.89	$7,940.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,119.92 / $5,901.54 / $6,644.54	Professional		$4,119.92	$5,901.54	$6,644.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,769.61 / $5,268.88 / $7,362.22	Facility		$2,769.61	$5,268.88	$7,362.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,027.47 / $4,659.22 / $8,599.11	Professional		$4,027.47	$4,659.22	$8,599.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,476.80 / $5,018.81 / $5,410.25	Facility		$3,476.80	$5,018.81	$5,410.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,406.27 / $5,676.55 / $7,323.48	Facility		$3,406.27	$5,676.55	$7,323.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,589.29 / $6,199.38 / $7,940.79	Professional		$4,589.29	$6,199.38	$7,940.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,986.84 / $13,986.84 / $13,986.84	Facility		$13,986.84	$13,986.84	$13,986.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,928.24 / $6,625.54 / $8,470.68	Professional		$4,928.24	$6,625.54	$8,470.68
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 $4,087.90 / $6,293.81 / $8,525.02	Professional		$4,087.90	$6,293.81	$8,525.02