Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $10,180.24 / $42,921.00	Facility		$2,528.00	$10,180.24	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.84 / $1,395.28 / $1,510.00	Professional		$1,201.84	$1,395.28	$1,510.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,420.21 / $2,875.69 / $3,560.85	Professional		$2,420.21	$2,875.69	$3,560.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,434.50 / $1,555.30 / $2,496.82	Facility		$1,434.50	$1,555.30	$2,496.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,670.71 / $2,165.56 / $2,784.52	Facility		$1,670.71	$2,165.56	$2,784.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,434.50 / $1,510.00 / $2,496.12	Facility		$1,434.50	$1,510.00	$2,496.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.03 / $1,778.03 / $2,850.33	Professional		$1,778.03	$1,778.03	$2,850.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,457.32 / $39,875.19 / $51,188.76	Facility		$19,457.32	$39,875.19	$51,188.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,125.92 / $3,176.53 / $4,184.33	Professional		$2,125.92	$3,176.53	$4,184.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $24,872.00	Facility		$3,028.00	$20,708.00	$24,872.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,923.74 / $2,708.95 / $4,067.33	Professional		$1,923.74	$2,708.95	$4,067.33