Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $9,984.58	Facility		$2,747.00	$7,920.26	$9,984.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,277.78 / $5,486.73 / $21,186.10	Professional		$3,277.78	$5,486.73	$21,186.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,712.96 / $9,159.70 / $12,441.72	Professional		$5,712.96	$9,159.70	$12,441.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,517.26 / $9,398.32 / $10,581.56	Professional		$6,517.26	$9,398.32	$10,581.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,198.22 / $7,492.60 / $11,796.47	Facility		$5,198.22	$7,492.60	$11,796.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,721.70 / $7,205.99 / $13,506.09	Professional		$5,721.70	$7,205.99	$13,506.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,879.07 / $6,958.60 / $8,476.84	Facility		$4,879.07	$6,958.60	$8,476.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,486.73 / $8,202.45 / $10,800.05	Facility		$5,486.73	$8,202.45	$10,800.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,709.80 / $9,706.32 / $12,441.72	Professional		$6,709.80	$9,706.32	$12,441.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,696.47 / $18,696.47 / $18,696.47	Facility		$18,696.47	$18,696.47	$18,696.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,741.38 / $10,380.96 / $13,271.95	Professional		$7,741.38	$10,380.96	$13,271.95
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 $6,189.87 / $8,010.40 / $13,391.29	Professional		$6,189.87	$8,010.40	$13,391.29