Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,124.75 / $7,920.26	Facility		$2,747.00	$6,124.75	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,495.42 / $3,773.67 / $14,460.50	Professional		$2,495.42	$3,773.67	$14,460.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,870.46 / $6,295.64 / $8,513.11	Professional		$3,870.46	$6,295.64	$8,513.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,433.12 / $6,402.46 / $7,208.52	Professional		$4,433.12	$6,402.46	$7,208.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,627.31 / $5,510.21 / $8,113.39	Facility		$3,627.31	$5,510.21	$8,113.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,327.35 / $4,900.80 / $9,173.11	Professional		$4,327.35	$4,900.80	$9,173.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,687.30 / $5,400.35 / $5,800.19	Facility		$3,687.30	$5,400.35	$5,800.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,773.67 / $6,288.82 / $7,858.34	Facility		$3,773.67	$6,288.82	$7,858.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,829.26 / $6,671.34 / $8,531.62	Professional		$4,829.26	$6,671.34	$8,531.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,771.21 / $14,771.21 / $14,771.21	Facility		$14,771.21	$14,771.21	$14,771.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,307.09 / $7,103.07 / $9,081.19	Professional		$5,307.09	$7,103.07	$9,081.19
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 $4,369.33 / $6,083.41 / $9,180.39	Professional		$4,369.33	$6,083.41	$9,180.39