Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,914.81 / $2,755.32 / $10,739.20	Professional		$1,914.81	$2,755.32	$10,739.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,907.79 / $4,690.39 / $6,418.52	Professional		$2,907.79	$4,690.39	$6,418.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,336.24 / $4,784.70 / $5,387.09	Professional		$3,336.24	$4,784.70	$5,387.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,750.19 / $3,853.97 / $5,923.94	Facility		$2,750.19	$3,853.97	$5,923.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,968.80 / $3,711.12 / $6,955.70	Professional		$2,968.80	$3,711.12	$6,955.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.08 / $3,817.66 / $4,373.09	Facility		$2,691.08	$3,817.66	$4,373.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,755.32 / $4,591.74 / $5,555.34	Facility		$2,755.32	$4,591.74	$5,555.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,455.76 / $5,007.81 / $6,418.52	Professional		$3,455.76	$5,007.81	$6,418.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,293.15 / $11,293.15 / $11,293.15	Facility		$11,293.15	$11,293.15	$11,293.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,981.09 / $5,355.40 / $6,846.82	Professional		$3,981.09	$5,355.40	$6,846.82
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 $3,290.77 / $4,867.04 / $6,886.62	Professional		$3,290.77	$4,867.04	$6,886.62