Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $14,614.14 / $59,252.00	Facility		$2,747.00	$14,614.14	$59,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,018.19 / $2,215.29 / $2,510.46	Professional		$2,018.19	$2,215.29	$2,510.46
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 $4,265.10 / $4,967.85 / $5,959.36	Professional		$4,265.10	$4,967.85	$5,959.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,384.94 / $2,510.46 / $4,400.14	Facility		$2,384.94	$2,510.46	$4,400.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,796.31 / $4,219.85 / $4,660.52	Facility		$2,796.31	$4,219.85	$4,660.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,384.94 / $2,510.46 / $4,398.24	Facility		$2,384.94	$2,510.46	$4,398.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,985.72 / $2,985.72 / $4,770.43	Professional		$2,985.72	$2,985.72	$4,770.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,569.03 / $5,332.78 / $7,024.69	Professional		$3,569.03	$5,332.78	$7,024.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,229.59 / $4,613.68 / $6,946.93	Professional		$3,229.59	$4,613.68	$6,946.93