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 $1,873.00 / $2,882.21 / $11,227.10	Professional		$1,873.00	$2,882.21	$11,227.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,055.63 / $4,900.78 / $6,703.70	Professional		$3,055.63	$4,900.78	$6,703.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,484.47 / $4,999.39 / $5,628.83	Professional		$3,484.47	$4,999.39	$5,628.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,882.21 / $4,490.45 / $6,202.45	Facility		$2,882.21	$4,490.45	$6,202.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,397.62 / $3,957.00 / $7,260.18	Professional		$3,397.62	$3,957.00	$7,260.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,212.24 / $4,244.72 / $4,567.39	Facility		$3,212.24	$4,244.72	$4,567.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,882.21 / $4,803.20 / $6,196.75	Facility		$2,882.21	$4,803.20	$6,196.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,893.84 / $5,251.37 / $6,703.70	Professional		$3,893.84	$5,251.37	$6,703.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,731.42 / $11,731.42 / $11,731.42	Facility		$11,731.42	$11,731.42	$11,731.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,156.99 / $5,593.35 / $7,151.03	Professional		$4,156.99	$5,593.35	$7,151.03
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 $3,307.86 / $4,826.14 / $7,190.91	Professional		$3,307.86	$4,826.14	$7,190.91