Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,021.13 / $7,920.26	Facility		$2,747.00	$5,021.13	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,838.57 / $2,798.91 / $10,735.20	Professional		$1,838.57	$2,798.91	$10,735.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,926.83 / $4,582.80 / $6,215.94	Professional		$2,926.83	$4,582.80	$6,215.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,254.09 / $4,719.30 / $5,313.46	Professional		$3,254.09	$4,719.30	$5,313.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,412.92 / $3,622.58 / $6,017.66	Facility		$2,412.92	$3,622.58	$6,017.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,778.78 / $3,576.39 / $6,703.17	Professional		$2,778.78	$3,576.39	$6,703.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,368.17 / $3,462.64 / $4,235.07	Facility		$2,368.17	$3,462.64	$4,235.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,798.91 / $4,084.83 / $5,394.87	Facility		$2,798.91	$4,084.83	$5,394.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,231.53 / $4,856.28 / $6,215.94	Professional		$3,231.53	$4,856.28	$6,215.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,576.31 / $8,576.31 / $8,576.31	Facility		$8,576.31	$8,576.31	$8,576.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,866.69 / $5,186.38 / $6,630.73	Professional		$3,866.69	$5,186.38	$6,630.73
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 $3,025.90 / $4,001.57 / $6,688.74	Professional		$3,025.90	$4,001.57	$6,688.74