Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,878.56 / $20,400.00	Facility		$2,747.00	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.97 / $2,864.85 / $10,287.70	Professional		$1,760.97	$2,864.85	$10,287.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,680.04 / $4,308.24 / $5,807.84	Professional		$2,680.04	$4,308.24	$5,807.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,135.54 / $4,504.72 / $5,083.56	Professional		$3,135.54	$4,504.72	$5,083.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,796.66 / $4,235.00 / $6,159.43	Facility		$2,796.66	$4,235.00	$6,159.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,033.99 / $3,425.04 / $6,246.96	Professional		$3,033.99	$3,425.04	$6,246.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,737.43 / $3,738.09 / $3,957.02	Facility		$2,737.43	$3,738.09	$3,957.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,864.85 / $4,699.96 / $6,159.43	Facility		$2,864.85	$4,699.96	$6,159.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,415.22 / $4,604.22 / $5,838.37	Professional		$3,415.22	$4,604.22	$5,838.37
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 $3,634.22 / $4,845.87 / $6,195.39	Professional		$3,634.22	$4,845.87	$6,195.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $22,956.00	Facility		$2,912.00	$17,192.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,977.54 / $4,289.58 / $6,228.07	Professional		$2,977.54	$4,289.58	$6,228.07