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 $1,151.95 / $1,400.00 / $1,447.18	Professional		$1,151.95	$1,400.00	$1,447.18
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 $2,298.21 / $2,676.89 / $3,211.91	Professional		$2,298.21	$2,676.89	$3,211.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,353.11 / $1,447.18 / $2,130.57	Facility		$1,353.11	$1,447.18	$2,130.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,645.08 / $2,405.94 / $6,959.47	Facility		$1,645.08	$2,405.94	$6,959.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,447.18 / $2,130.32	Facility		$1,400.00	$1,447.18	$2,130.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,704.19 / $1,704.19 / $2,571.13	Professional		$1,704.19	$1,704.19	$2,571.13
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 $2,037.66 / $3,044.64 / $4,010.61	Professional		$2,037.66	$3,044.64	$4,010.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,919.16 / $2,720.64 / $4,106.64	Professional		$1,919.16	$2,720.64	$4,106.64