Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.97 / $2,122.98 / $3,164.60	Professional		$1,143.97	$2,122.98	$3,164.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,112.87 / $7,112.87 / $8,522.02	Professional		$7,112.87	$7,112.87	$8,522.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,161.48 / $2,697.79 / $3,037.89	Professional		$2,161.48	$2,697.79	$3,037.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,122.98 / $2,229.13 / $4,564.41	Facility		$2,122.98	$2,229.13	$4,564.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,339.81 / $1,339.81 / $1,426.81	Professional		$1,339.81	$1,339.81	$1,426.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,365.34 / $2,150.65 / $3,041.32	Facility		$1,365.34	$2,150.65	$3,041.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,122.98 / $2,335.28 / $4,564.41	Facility		$2,122.98	$2,335.28	$4,564.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,339.81 / $2,431.87 / $4,177.88	Professional		$1,339.81	$2,431.87	$4,177.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,563.23 / $3,146.40 / $5,230.20	Professional		$2,563.23	$3,146.40	$5,230.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,723.50 / $3,808.80 / $5,872.71	Professional		$2,723.50	$3,808.80	$5,872.71