Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $8,952.00 / $32,689.00	Facility		$1,924.00	$8,952.00	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,095.61 / $1,180.07 / $1,376.06	Professional		$1,095.61	$1,180.07	$1,376.06
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 $2,193.98 / $2,555.48 / $3,066.26	Professional		$2,193.98	$2,555.48	$3,066.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,307.26 / $1,376.06 / $2,263.62	Facility		$1,307.26	$1,376.06	$2,263.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,963.05 / $6,096.32 / $8,538.08	Facility		$1,963.05	$6,096.32	$8,538.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,307.26 / $1,376.06 / $2,262.48	Facility		$1,307.26	$1,376.06	$2,262.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,620.83 / $1,620.83 / $2,454.51	Professional		$1,620.83	$1,620.83	$2,454.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,938.03 / $2,792.63 / $3,753.32	Professional		$1,938.03	$2,792.63	$3,753.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $26,830.35	Facility		$3,028.00	$20,708.00	$26,830.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,753.22 / $2,504.61 / $3,707.83	Professional		$1,753.22	$2,504.61	$3,707.83