Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,318.13 / $7,920.26	Facility		$2,747.00	$5,318.13	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.41 / $3,213.51 / $12,523.90	Professional		$2,238.41	$3,213.51	$12,523.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,401.90 / $5,472.16 / $7,485.48	Professional		$3,401.90	$5,472.16	$7,485.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,889.58 / $5,577.57 / $6,279.79	Professional		$3,889.58	$5,577.57	$6,279.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,213.51 / $4,938.93 / $6,910.53	Facility		$3,213.51	$4,938.93	$6,910.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,784.20 / $4,379.39 / $8,110.03	Professional		$3,784.20	$4,379.39	$8,110.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,138.57 / $4,611.43 / $5,100.04	Facility		$3,138.57	$4,611.43	$5,100.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,213.51 / $5,241.10 / $6,909.05	Facility		$3,213.51	$5,241.10	$6,909.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,244.60 / $5,823.36 / $7,485.48	Professional		$4,244.60	$5,823.36	$7,485.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,055.35 / $11,055.35 / $11,055.35	Facility		$11,055.35	$11,055.35	$11,055.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,644.70 / $6,245.65 / $7,984.99	Professional		$4,644.70	$6,245.65	$7,984.99
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 $3,839.86 / $5,868.83 / $8,034.56	Professional		$3,839.86	$5,868.83	$8,034.56