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 $928.36 / $1,110.08 / $1,749.60	Professional		$928.36	$1,110.08	$1,749.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.76 / $2,362.37 / $3,731.92	Professional		$1,560.76	$2,362.37	$3,731.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,006.66 / $2,480.94 / $2,997.49	Professional		$2,006.66	$2,480.94	$2,997.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,487.16 / $1,837.08 / $2,968.08	Facility		$1,487.16	$1,837.08	$2,968.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.12 / $1,489.12 / $2,540.85	Professional		$1,489.12	$1,489.12	$2,540.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,525.59 / $2,310.26 / $2,542.65	Facility		$1,525.59	$2,310.26	$2,542.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,524.87 / $2,277.63 / $7,455.00	Facility		$1,524.87	$2,277.63	$7,455.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,693.77 / $2,540.85 / $3,731.92	Professional		$1,693.77	$2,540.85	$3,731.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,115.96 / $14,408.62	Facility		$8,391.79	$11,115.96	$14,408.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,322.35 / $2,747.87 / $4,024.46	Professional		$2,322.35	$2,747.87	$4,024.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,572.55 / $2,373.79 / $3,774.70	Professional		$1,572.55	$2,373.79	$3,774.70