Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,416.62 / $7,920.26	Facility		$2,747.00	$5,416.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,328.04 / $3,293.68 / $12,778.20	Professional		$2,328.04	$3,293.68	$12,778.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,312.18 / $5,335.80 / $7,188.50	Professional		$3,312.18	$5,335.80	$7,188.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,879.65 / $5,561.73 / $6,261.95	Professional		$3,879.65	$5,561.73	$6,261.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,293.68 / $5,136.49 / $7,081.41	Facility		$3,293.68	$5,136.49	$7,081.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,735.75 / $4,317.06 / $7,740.80	Professional		$3,735.75	$4,317.06	$7,740.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,396.80 / $4,634.13 / $4,897.70	Facility		$3,396.80	$4,634.13	$4,897.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,293.68 / $5,438.81 / $6,880.91	Facility		$3,293.68	$5,438.81	$6,880.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,220.77 / $5,718.52 / $7,230.88	Professional		$4,220.77	$5,718.52	$7,230.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,533.54 / $12,533.54 / $12,533.54	Facility		$12,533.54	$12,533.54	$12,533.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,498.33 / $5,997.86 / $7,668.19	Professional		$4,498.33	$5,997.86	$7,668.19
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 $3,722.82 / $5,806.97 / $7,708.96	Professional		$3,722.82	$5,806.97	$7,708.96