Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,711.54 / $8,651.36	Facility		$2,747.00	$7,711.54	$8,651.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,258.43 / $4,658.89 / $18,262.30	Professional		$3,258.43	$4,658.89	$18,262.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,946.56 / $7,922.12 / $10,866.34	Professional		$4,946.56	$7,922.12	$10,866.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,634.45 / $8,065.34 / $9,080.76	Professional		$5,634.45	$8,065.34	$9,080.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,658.89 / $7,265.55 / $10,094.59	Facility		$4,658.89	$7,265.55	$10,094.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,592.00 / $6,413.40 / $11,769.30	Professional		$5,592.00	$6,413.40	$11,769.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,072.22 / $6,804.85 / $7,403.50	Facility		$5,072.22	$6,804.85	$7,403.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,658.89 / $7,764.06 / $10,016.64	Facility		$4,658.89	$7,764.06	$10,016.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,303.49 / $8,471.45 / $10,866.34	Professional		$6,303.49	$8,471.45	$10,866.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,056.68 / $19,056.68 / $19,056.68	Facility		$19,056.68	$19,056.68	$19,056.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,746.88 / $9,066.53 / $11,591.45	Professional		$6,746.88	$9,066.53	$11,591.45
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 $5,517.73 / $7,965.02 / $11,670.98	Professional		$5,517.73	$7,965.02	$11,670.98