Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,763.23 / $7,920.26	Facility		$2,747.00	$6,763.23	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,835.71 / $4,085.81 / $15,943.70	Professional		$2,835.71	$4,085.81	$15,943.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,315.62 / $6,959.00 / $9,520.10	Professional		$4,315.62	$6,959.00	$9,520.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,947.14 / $7,094.75 / $7,987.97	Professional		$4,947.14	$7,094.75	$7,987.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,085.81 / $6,331.23 / $8,784.49	Facility		$4,085.81	$6,331.23	$8,784.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,864.74 / $5,564.88 / $10,313.62	Professional		$4,864.74	$5,564.88	$10,313.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,417.06 / $6,026.50 / $6,486.27	Facility		$4,417.06	$6,026.50	$6,486.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,085.81 / $6,809.00 / $8,783.94	Facility		$4,085.81	$6,809.00	$8,783.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,499.46 / $7,450.58 / $9,520.10	Professional		$5,499.46	$7,450.58	$9,520.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,716.12 / $16,716.12 / $16,716.12	Facility		$16,716.12	$16,716.12	$16,716.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,906.13 / $7,943.26 / $10,155.37	Professional		$5,906.13	$7,943.26	$10,155.37
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 $4,887.92 / $6,918.21 / $10,216.62	Professional		$4,887.92	$6,918.21	$10,216.62