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 $670.53 / $801.92 / $1,263.68	Professional		$670.53	$801.92	$1,263.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.03 / $1,705.87 / $2,694.46	Professional		$1,127.03	$1,705.87	$2,694.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,449.52 / $1,792.14 / $2,166.01	Professional		$1,449.52	$1,792.14	$2,166.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,074.13 / $1,326.86 / $2,143.06	Facility		$1,074.13	$1,326.86	$2,143.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.12 / $1,489.12 / $1,835.11	Professional		$1,489.12	$1,489.12	$1,835.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,205.59 / $1,668.83 / $1,835.80	Facility		$1,205.59	$1,668.83	$1,835.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,101.38 / $1,645.06 / $7,455.00	Facility		$1,101.38	$1,645.06	$7,455.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,223.09 / $1,835.11 / $2,694.46	Professional		$1,223.09	$1,835.11	$2,694.46
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 $1,677.19 / $1,984.20 / $2,906.44	Professional		$1,677.19	$1,984.20	$2,906.44
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 $1,190.05 / $1,714.69 / $2,726.62	Professional		$1,190.05	$1,714.69	$2,726.62