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 $1,689.23 / $2,742.48 / $9,904.12	Professional		$1,689.23	$2,742.48	$9,904.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,605.14 / $4,123.43 / $5,562.98	Professional		$2,605.14	$4,123.43	$5,562.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,004.84 / $4,314.20 / $4,860.33	Professional		$3,004.84	$4,314.20	$4,860.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,742.48 / $4,060.00 / $5,896.33	Facility		$2,742.48	$4,060.00	$5,896.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,945.76 / $3,310.20 / $5,991.28	Professional		$2,945.76	$3,310.20	$5,991.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,672.99 / $3,631.40 / $3,806.73	Facility		$2,672.99	$3,631.40	$3,806.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,742.48 / $4,496.80 / $5,896.33	Facility		$2,742.48	$4,496.80	$5,896.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,319.77 / $4,433.72 / $5,586.00	Professional		$3,319.77	$4,433.72	$5,586.00
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 $3,478.61 / $4,641.57 / $5,934.19	Professional		$3,478.61	$4,641.57	$5,934.19
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 $2,818.41 / $4,173.09 / $6,017.41	Professional		$2,818.41	$4,173.09	$6,017.41