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 $2,342.17 / $3,858.73 / $4,328.20	Professional		$2,342.17	$3,858.73	$4,328.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $16,174.77	Facility		$1,664.70	$1,664.70	$16,174.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,149.46 / $8,089.71 / $9,055.23	Professional		$6,149.46	$8,089.71	$9,055.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,077.14 / $4,328.20 / $7,698.08	Facility		$1,077.14	$4,328.20	$7,698.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $874.22 / $874.22 / $28,105.85	Professional		$874.22	$874.22	$28,105.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,333.59 / $9,728.00 / $14,460.71	Facility		$3,333.59	$9,728.00	$14,460.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,007.65 / $4,328.20 / $7,719.89	Facility		$1,007.65	$4,328.20	$7,719.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,252.56 / $6,446.97 / $7,439.16	Professional		$1,252.56	$6,446.97	$7,439.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34,100.11 / $44,751.79 / $68,759.46	Facility		$34,100.11	$44,751.79	$68,759.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,782.20 / $11,083.40 / $18,880.11	Professional		$4,782.20	$11,083.40	$18,880.11
United Facility/Professional Professional Modifier Low / Median / High Price $4,239.17 / $4,262.89 / $12,566.79	Professional		$4,239.17	$4,262.89	$12,566.79