Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,072.60 / $15,341.00	Facility		$2,747.00	$6,072.60	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.20 / $1,525.19 / $1,705.98	Professional		$1,059.20	$1,525.19	$1,705.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,310.73 / $3,005.66 / $3,314.54	Professional		$2,310.73	$3,005.66	$3,314.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,059.20 / $1,791.28 / $3,465.25	Facility		$1,059.20	$1,791.28	$3,465.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92,699.07 / $92,699.07 / $92,699.07	Professional		$92,699.07	$92,699.07	$92,699.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,031.05 / $20,779.25 / $41,533.12	Facility		$2,031.05	$20,779.25	$41,533.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,059.20 / $1,705.98 / $3,465.25	Facility		$1,059.20	$1,705.98	$3,465.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,009.51 / $2,784.47 / $6,328.37	Professional		$2,009.51	$2,784.47	$6,328.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53,175.50 / $64,762.13 / $86,985.42	Facility		$53,175.50	$64,762.13	$86,985.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,402.09 / $2,927.76 / $4,046.02	Professional		$2,402.09	$2,927.76	$4,046.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $37,152.00 / $65,339.00	Facility		$4,252.00	$37,152.00	$65,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,838.95 / $2,819.13 / $4,334.20	Professional		$1,838.95	$2,819.13	$4,334.20