Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,768.50 / $7,920.26	Facility		$2,747.00	$4,768.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,774.84 / $2,564.00 / $9,964.12	Professional		$1,774.84	$2,564.00	$9,964.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,705.33 / $4,359.03 / $5,968.13	Professional		$2,705.33	$4,359.03	$5,968.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,106.86 / $4,462.14 / $5,023.92	Professional		$3,106.86	$4,462.14	$5,023.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,564.00 / $3,963.71 / $5,512.60	Facility		$2,564.00	$3,963.71	$5,512.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,008.49 / $3,480.41 / $6,466.59	Professional		$3,008.49	$3,480.41	$6,466.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,755.61 / $3,692.65 / $4,066.23	Facility		$2,755.61	$3,692.65	$4,066.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,564.00 / $4,272.91 / $5,488.81	Facility		$2,564.00	$4,272.91	$5,488.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,447.45 / $4,666.14 / $5,968.13	Professional		$3,447.45	$4,666.14	$5,968.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,377.49 / $10,377.49 / $10,377.49	Facility		$10,377.49	$10,377.49	$10,377.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,699.40 / $4,979.60 / $6,366.38	Professional		$3,699.40	$4,979.60	$6,366.38
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 $2,931.48 / $4,269.27 / $6,399.37	Professional		$2,931.48	$4,269.27	$6,399.37