Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,206.99 / $12,274.80 / $21,735.00	Facility		$3,206.99	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,416.00 / $2,345.33 / $8,244.19	Professional		$1,416.00	$2,345.33	$8,244.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,135.56 / $3,526.32 / $4,689.74	Professional		$2,135.56	$3,526.32	$4,689.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,544.27 / $3,664.44 / $4,162.56	Professional		$2,544.27	$3,664.44	$4,162.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,028.76 / $3,363.75 / $5,042.46	Facility		$2,028.76	$3,363.75	$5,042.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,421.48 / $2,696.16 / $5,053.35	Professional		$2,421.48	$2,696.16	$5,053.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,159.90 / $2,960.60 / $3,195.23	Facility		$2,159.90	$2,960.60	$3,195.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,345.33 / $3,833.73 / $9,325.04	Facility		$2,345.33	$3,833.73	$9,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,728.64 / $3,756.80 / $4,752.09	Professional		$2,728.64	$3,756.80	$4,752.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,946.61 / $3,912.96 / $5,002.68	Professional		$2,946.61	$3,912.96	$5,002.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,365.92 / $3,385.52 / $5,097.14	Professional		$2,365.92	$3,385.52	$5,097.14