Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,493.55 / $7,920.26	Facility		$2,747.00	$5,493.55	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,128.25 / $3,396.09 / $12,668.80	Professional		$2,128.25	$3,396.09	$12,668.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,317.37 / $5,623.60 / $7,551.37	Professional		$3,317.37	$5,623.60	$7,551.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,949.34 / $5,744.50 / $6,472.27	Professional		$3,949.34	$5,744.50	$6,472.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,009.77 / $4,724.43 / $7,301.59	Facility		$3,009.77	$4,724.43	$7,301.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,753.82 / $4,323.03 / $8,102.58	Professional		$3,753.82	$4,323.03	$8,102.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,086.96 / $4,569.93 / $5,144.93	Facility		$3,086.96	$4,569.93	$5,144.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,396.09 / $5,539.00 / $6,827.23	Facility		$3,396.09	$5,539.00	$6,827.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,198.93 / $5,959.20 / $7,595.04	Professional		$4,198.93	$5,959.20	$7,595.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,501.57 / $12,501.57 / $12,501.57	Facility		$12,501.57	$12,501.57	$12,501.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,720.35 / $6,300.62 / $8,055.27	Professional		$4,720.35	$6,300.62	$8,055.27
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 $3,703.96 / $5,812.37 / $8,165.42	Professional		$3,703.96	$5,812.37	$8,165.42