Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,569.55 / $7,920.26	Facility		$2,747.00	$4,569.55	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,682.09 / $2,455.40 / $5,868.73	Professional		$1,682.09	$2,455.40	$5,868.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,279.48 / $3,523.35 / $5,713.43	Professional		$2,279.48	$3,523.35	$5,713.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,430.59 / $4,031.55 / $4,820.84	Professional		$3,430.59	$4,031.55	$4,820.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,455.40 / $3,357.30 / $4,549.77	Facility		$2,455.40	$3,357.30	$4,549.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,877.93 / $3,398.53 / $5,437.64	Professional		$2,877.93	$3,398.53	$5,437.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,681.22 / $3,628.12 / $3,892.70	Facility		$2,681.22	$3,628.12	$3,892.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,455.40 / $3,363.90 / $4,938.37	Facility		$2,455.40	$3,363.90	$4,938.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,295.94 / $3,884.65 / $5,317.62	Professional		$3,295.94	$3,884.65	$5,317.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,846.87 / $9,846.87 / $9,846.87	Facility		$9,846.87	$9,846.87	$9,846.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,540.11 / $4,534.71 / $6,094.69	Professional		$3,540.11	$4,534.71	$6,094.69
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 $2,688.63 / $3,786.04 / $6,066.83	Professional		$2,688.63	$3,786.04	$6,066.83