Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,061.36 / $2,964.86 / $11,540.60	Professional		$2,061.36	$2,964.86	$11,540.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,135.45 / $5,045.79 / $6,905.29	Professional		$3,135.45	$5,045.79	$6,905.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,589.93 / $5,150.58 / $5,799.04	Professional		$3,589.93	$5,150.58	$5,799.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,964.86 / $4,588.66 / $6,374.45	Facility		$2,964.86	$4,588.66	$6,374.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,514.56 / $4,033.24 / $7,480.86	Professional		$3,514.56	$4,033.24	$7,480.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,175.60 / $4,318.42 / $4,704.74	Facility		$3,175.60	$4,318.42	$4,704.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,964.86 / $4,940.93 / $6,365.35	Facility		$2,964.86	$4,940.93	$6,365.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,995.55 / $5,408.75 / $6,905.29	Professional		$3,995.55	$5,408.75	$6,905.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,109.43 / $12,109.43 / $12,109.43	Facility		$12,109.43	$12,109.43	$12,109.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,283.68 / $5,761.55 / $7,366.08	Professional		$4,283.68	$5,761.55	$7,366.08
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 $3,401.20 / $5,219.68 / $7,341.10	Professional		$3,401.20	$5,219.68	$7,341.10