Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $10,347.48 / $32,689.00	Facility		$2,747.00	$10,347.48	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,246.20 / $2,488.26 / $2,719.10	Professional		$1,246.20	$2,488.26	$2,719.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.44 / $630.44 / $755.33	Professional		$630.44	$630.44	$755.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,133.17 / $3,910.46 / $4,402.30	Professional		$3,133.17	$3,910.46	$4,402.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $423.91 / $2,488.26 / $6,146.98	Facility		$423.91	$2,488.26	$6,146.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,205.61 / $2,009.36 / $3,978.83	Facility		$1,205.61	$2,009.36	$3,978.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.64 / $2,488.26 / $6,146.98	Facility		$207.64	$2,488.26	$6,146.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $351.98 / $3,523.98 / $5,612.40	Professional		$351.98	$3,523.98	$5,612.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,549.46 / $9,377.96 / $14,269.30	Facility		$4,549.46	$9,377.96	$14,269.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,256.04 / $4,603.00 / $5,884.89	Professional		$3,256.04	$4,603.00	$5,884.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,929.42 / $5,412.22 / $8,115.90	Professional		$3,929.42	$5,412.22	$8,115.90