Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,031.80 / $7,920.26	Facility		$2,747.00	$7,031.80	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,832.37 / $4,308.53 / $16,450.90	Professional		$2,832.37	$4,308.53	$16,450.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,377.49 / $7,238.55 / $9,775.77	Professional		$4,377.49	$7,238.55	$9,775.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,081.72 / $7,333.07 / $8,256.29	Professional		$5,081.72	$7,333.07	$8,256.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,190.06 / $6,357.79 / $9,263.34	Facility		$4,190.06	$6,357.79	$9,263.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,932.72 / $5,614.79 / $10,523.72	Professional		$4,932.72	$5,614.79	$10,523.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,301.85 / $6,008.60 / $6,660.47	Facility		$4,301.85	$6,008.60	$6,660.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,308.53 / $7,180.17 / $8,975.54	Facility		$4,308.53	$7,180.17	$8,975.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,543.36 / $7,670.52 / $9,809.42	Professional		$5,543.36	$7,670.52	$9,809.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,817.23 / $16,817.23 / $16,817.23	Facility		$16,817.23	$16,817.23	$16,817.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,097.40 / $8,156.59 / $10,428.11	Professional		$6,097.40	$8,156.59	$10,428.11
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 $5,079.26 / $7,792.89 / $10,547.50	Professional		$5,079.26	$7,792.89	$10,547.50