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 $698.50 / $1,720.45 / $2,622.61	Professional		$698.50	$1,720.45	$2,622.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,432.20 / $4,155.32 / $5,145.43	Professional		$3,432.20	$4,155.32	$5,145.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $613.60 / $2,622.61 / $3,592.98	Facility		$613.60	$2,622.61	$3,592.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.92 / $2,253.63 / $2,310.78	Professional		$346.92	$2,253.63	$2,310.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $237.07 / $1,487.50 / $6,053.39	Facility		$237.07	$1,487.50	$6,053.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $698.50 / $2,622.61 / $3,592.98	Facility		$698.50	$2,622.61	$3,592.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $334.69 / $1,698.55 / $3,089.01	Professional		$334.69	$1,698.55	$3,089.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,251.17 / $4,687.68 / $6,300.29	Professional		$3,251.17	$4,687.68	$6,300.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,396.52 / $3,981.11 / $5,790.20	Professional		$1,396.52	$3,981.11	$5,790.20