Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,047.19 / $7,920.26	Facility		$2,747.00	$6,047.19	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,050.59 / $3,726.83 / $14,271.80	Professional		$2,050.59	$3,726.83	$14,271.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,818.98 / $6,212.46 / $8,399.04	Professional		$3,818.98	$6,212.46	$8,399.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,376.93 / $6,323.98 / $7,120.17	Professional		$4,376.93	$6,323.98	$7,120.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,513.13 / $4,925.05 / $8,012.68	Facility		$3,513.13	$4,925.05	$8,012.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,800.96 / $4,829.64 / $9,052.14	Professional		$3,800.96	$4,829.64	$9,052.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,365.32 / $4,799.88 / $5,722.47	Facility		$3,365.32	$4,799.88	$5,722.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,726.83 / $5,593.00 / $7,306.72	Facility		$3,726.83	$5,593.00	$7,306.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,385.55 / $6,583.20 / $8,418.90	Professional		$4,385.55	$6,583.20	$8,418.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,715.47 / $11,715.47 / $11,715.47	Facility		$11,715.47	$11,715.47	$11,715.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,237.60 / $7,007.89 / $8,959.51	Professional		$5,237.60	$7,007.89	$8,959.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $8,571.00 / $36,803.00	Facility		$2,446.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,308.89 / $6,057.97 / $9,060.15	Professional		$4,308.89	$6,057.97	$9,060.15