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 / $20,400.00	Facility		$2,747.00	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,565.35 / $2,532.14 / $9,171.95	Professional		$1,565.35	$2,532.14	$9,171.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,411.11 / $3,812.86 / $5,152.91	Professional		$2,411.11	$3,812.86	$5,152.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,786.02 / $3,999.20 / $4,503.14	Professional		$2,786.02	$3,999.20	$4,503.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,532.14 / $3,755.50 / $5,444.10	Facility		$2,532.14	$3,755.50	$5,444.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,724.42 / $3,124.20 / $5,556.29	Professional		$2,724.42	$3,124.20	$5,556.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,522.79 / $3,366.08 / $3,510.80	Facility		$2,522.79	$3,366.08	$3,510.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,532.14 / $4,033.01 / $5,010.27	Facility		$2,532.14	$4,033.01	$5,010.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,072.51 / $4,106.47 / $5,167.05	Professional		$3,072.51	$4,106.47	$5,167.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,154.79 / $9,154.79 / $9,154.79	Facility		$9,154.79	$9,154.79	$9,154.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,220.91 / $4,299.42 / $5,496.76	Professional		$3,220.91	$4,299.42	$5,496.76
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 $2,562.23 / $3,864.22 / $5,571.63	Professional		$2,562.23	$3,864.22	$5,571.63