Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,743.10 / $7,920.26	Facility		$2,747.00	$4,743.10	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,768.13 / $2,551.71 / $9,919.41	Professional		$1,768.13	$2,551.71	$9,919.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,692.68 / $4,339.16 / $5,938.63	Professional		$2,692.68	$4,339.16	$5,938.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,089.33 / $4,435.37 / $4,993.78	Professional		$3,089.33	$4,435.37	$4,993.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,551.71 / $3,945.20 / $5,486.20	Facility		$2,551.71	$3,945.20	$5,486.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,994.72 / $3,460.49 / $6,432.64	Professional		$2,994.72	$3,460.49	$6,432.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,715.98 / $3,706.24 / $4,046.13	Facility		$2,715.98	$3,706.24	$4,046.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,551.71 / $4,252.43 / $5,463.82	Facility		$2,551.71	$4,252.43	$5,463.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,431.33 / $4,616.75 / $5,938.63	Professional		$3,431.33	$4,616.75	$5,938.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,946.25 / $9,946.25 / $9,946.25	Facility		$9,946.25	$9,946.25	$9,946.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,680.96 / $4,955.00 / $6,334.91	Professional		$3,680.96	$4,955.00	$6,334.91
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 $3,034.26 / $4,298.96 / $6,367.44	Professional		$3,034.26	$4,298.96	$6,367.44