Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,058.67 / $7,920.26	Facility		$2,747.00	$6,058.67	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,527.55 / $3,892.69 / $14,048.40	Professional		$2,527.55	$3,892.69	$14,048.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,586.59 / $6,251.90 / $8,011.59	Professional		$3,586.59	$6,251.90	$8,011.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,314.00 / $6,200.80 / $7,006.66	Professional		$4,314.00	$6,200.80	$7,006.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,643.54 / $5,692.24 / $8,369.28	Facility		$3,643.54	$5,692.24	$8,369.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,103.46 / $4,584.00 / $8,589.57	Professional		$4,103.46	$4,584.00	$8,589.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,661.39 / $4,997.27 / $5,458.49	Facility		$3,661.39	$4,997.27	$5,458.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,892.69 / $6,286.92 / $7,539.01	Facility		$3,892.69	$6,286.92	$7,539.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,670.60 / $6,536.80 / $8,127.69	Professional		$4,670.60	$6,536.80	$8,127.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,676.34 / $13,676.34 / $13,676.34	Facility		$13,676.34	$13,676.34	$13,676.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,025.41 / $6,684.61 / $8,546.20	Professional		$5,025.41	$6,684.61	$8,546.20
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 $4,060.33 / $5,795.57 / $8,693.11	Professional		$4,060.33	$5,795.57	$8,693.11