Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,117.08 / $7,920.26	Facility		$2,747.00	$5,117.08	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,130.03 / $3,091.99 / $12,037.50	Professional		$2,130.03	$3,091.99	$12,037.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,270.50 / $5,262.93 / $7,200.30	Professional		$3,270.50	$5,262.93	$7,200.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,745.59 / $5,375.25 / $6,051.99	Professional		$3,745.59	$5,375.25	$6,051.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,091.99 / $4,776.50 / $6,647.78	Facility		$3,091.99	$4,776.50	$6,647.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,664.76 / $4,195.68 / $7,803.42	Professional		$3,664.76	$4,195.68	$7,803.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,245.18 / $4,487.66 / $4,905.74	Facility		$3,245.18	$4,487.66	$4,905.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,091.99 / $5,152.80 / $6,638.40	Facility		$3,091.99	$5,152.80	$6,638.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,080.66 / $5,605.05 / $7,200.30	Professional		$4,080.66	$5,605.05	$7,200.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,011.80 / $12,011.80 / $12,011.80	Facility		$12,011.80	$12,011.80	$12,011.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,465.72 / $6,007.70 / $7,680.78	Professional		$4,465.72	$6,007.70	$7,680.78
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 $3,685.63 / $5,440.85 / $7,724.97	Professional		$3,685.63	$5,440.85	$7,724.97