Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,338.46 / $30,593.00	Facility		$2,747.00	$9,338.46	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.00 / $752.42 / $883.20	Professional		$653.00	$752.42	$883.20
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 $1,266.78 / $1,647.76 / $1,830.08	Professional		$1,266.78	$1,647.76	$1,830.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $783.04 / $1,017.95 / $1,722.69	Facility		$783.04	$1,017.95	$1,722.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $974.70 / $974.70 / $92,699.07	Professional		$974.70	$974.70	$92,699.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $743.89 / $5,046.93 / $6,512.56	Facility		$743.89	$5,046.93	$6,512.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $735.51 / $908.58 / $1,722.69	Facility		$735.51	$908.58	$1,722.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,019.25 / $1,526.93 / $3,720.03	Professional		$1,019.25	$1,526.93	$3,720.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.34 / $13,653.30 / $19,565.63	Facility		$10,762.34	$13,653.30	$19,565.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,292.56 / $1,519.33 / $2,171.69	Professional		$1,292.56	$1,519.33	$2,171.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.42 / $1,396.64 / $2,112.04	Professional		$1,056.42	$1,396.64	$2,112.04