Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $12,274.80 / $21,735.00	Facility		$3,107.00	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,347.16 / $2,200.05 / $7,915.91	Professional		$1,347.16	$2,200.05	$7,915.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,084.42 / $3,307.88 / $4,441.92	Professional		$2,084.42	$3,307.88	$4,441.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,397.44 / $3,443.71 / $3,884.37	Professional		$2,397.44	$3,443.71	$3,884.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,200.05 / $3,244.38 / $4,730.10	Facility		$2,200.05	$3,244.38	$4,730.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,362.32 / $2,638.42 / $4,777.52	Professional		$2,362.32	$2,638.42	$4,777.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,106.85 / $2,887.95 / $3,047.83	Facility		$2,106.85	$2,887.95	$3,047.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,200.05 / $3,781.48 / $9,325.04	Facility		$2,200.05	$3,781.48	$9,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,653.86 / $3,542.84 / $4,463.81	Professional		$2,653.86	$3,542.84	$4,463.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,751.18	Facility		$7,382.73	$9,721.75	$12,751.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,778.70 / $3,706.20 / $4,738.33	Professional		$2,778.70	$3,706.20	$4,738.33
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 $2,248.48 / $3,338.93 / $4,761.96	Professional		$2,248.48	$3,338.93	$4,761.96