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 $694.48 / $811.75 / $900.13	Professional		$694.48	$811.75	$900.13
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 $1,301.73 / $1,693.21 / $1,880.56	Professional		$1,301.73	$1,693.21	$1,880.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $824.24 / $1,071.51 / $1,813.33	Facility		$824.24	$1,071.51	$1,813.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $939.04 / $939.04 / $939.04	Professional		$939.04	$939.04	$939.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $765.54 / $1,691.66 / $3,182.06	Facility		$765.54	$1,691.66	$3,182.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $1,071.51 / $1,935.28	Facility		$765.11	$1,071.51	$1,935.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,607.27 / $1,638.85 / $3,724.70	Professional		$1,607.27	$1,638.85	$3,724.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,208.54 / $15,220.55 / $17,188.49	Facility		$15,208.54	$15,220.55	$17,188.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,188.53 / $1,600.63 / $2,506.06	Professional		$1,188.53	$1,600.63	$2,506.06
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 $1,051.16 / $1,576.74 / $2,249.23	Professional		$1,051.16	$1,576.74	$2,249.23