Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,540.38 / $7,920.26	Facility		$2,747.00	$4,540.38	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,699.64 / $2,442.56 / $9,505.67	Professional		$1,699.64	$2,442.56	$9,505.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,587.60 / $4,152.18 / $5,686.88	Professional		$2,587.60	$4,152.18	$5,686.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,958.33 / $4,246.14 / $4,780.72	Professional		$2,958.33	$4,246.14	$4,780.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,442.56 / $3,697.40 / $5,251.50	Facility		$2,442.56	$3,697.40	$5,251.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,830.59 / $3,315.35 / $6,162.07	Professional		$2,830.59	$3,315.35	$6,162.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,631.09 / $3,603.78 / $3,874.61	Facility		$2,631.09	$3,603.78	$3,874.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,442.56 / $4,070.53 / $5,250.00	Facility		$2,442.56	$4,070.53	$5,250.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,217.04 / $4,457.97 / $5,686.88	Professional		$3,217.04	$4,457.97	$5,686.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,979.95 / $9,979.95 / $9,979.95	Facility		$9,979.95	$9,979.95	$9,979.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,524.74 / $4,744.95 / $6,066.37	Professional		$3,524.74	$4,744.95	$6,066.37
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 $2,908.65 / $4,073.76 / $6,097.22	Professional		$2,908.65	$4,073.76	$6,097.22