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 $825.22 / $987.02 / $1,555.52	Professional		$825.22	$987.02	$1,555.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,387.42 / $2,099.11 / $3,316.94	Professional		$1,387.42	$2,099.11	$3,316.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,783.69 / $2,205.29 / $2,664.42	Professional		$1,783.69	$2,205.29	$2,664.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,322.19 / $1,633.30 / $2,638.57	Facility		$1,322.19	$1,633.30	$2,638.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.12 / $1,489.12 / $2,258.50	Professional		$1,489.12	$1,489.12	$2,258.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,355.95 / $2,053.60 / $2,259.91	Facility		$1,355.95	$2,053.60	$2,259.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,355.16 / $2,024.98 / $7,455.00	Facility		$1,355.16	$2,024.98	$7,455.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,504.87 / $2,258.50 / $3,316.94	Professional		$1,504.87	$2,258.50	$3,316.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,064.65 / $2,442.55 / $3,577.89	Professional		$2,064.65	$2,442.55	$3,577.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,257.36 / $2,109.90 / $3,355.07	Professional		$1,257.36	$2,109.90	$3,355.07