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 $848.50 / $1,065.73 / $7,943.92	Professional		$848.50	$1,065.73	$7,943.92
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 $1,458.57 / $1,810.22 / $2,250.48	Professional		$1,458.57	$1,810.22	$2,250.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,065.73 / $1,119.02 / $2,291.32	Facility		$1,065.73	$1,119.02	$2,291.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,145.20 / $4,255.14 / $6,319.51	Facility		$1,145.20	$4,255.14	$6,319.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,056.54 / $1,065.73 / $2,291.32	Facility		$1,056.54	$1,065.73	$2,291.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,255.26 / $1,255.26 / $1,801.44	Professional		$1,255.26	$1,255.26	$1,801.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.49 / $2,181.50 / $2,931.96	Professional		$1,513.49	$2,181.50	$2,931.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,385.50 / $1,967.41 / $2,895.63	Professional		$1,385.50	$1,967.41	$2,895.63