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 $1,753.58 / $2,097.11 / $3,305.12	Professional		$1,753.58	$2,097.11	$3,305.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,947.75 / $4,461.47 / $7,048.86	Professional		$2,947.75	$4,461.47	$7,048.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,790.34 / $4,686.24 / $5,661.91	Professional		$3,790.34	$4,686.24	$5,661.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,809.35 / $3,470.38 / $5,606.65	Facility		$2,809.35	$3,470.38	$5,606.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.12 / $1,489.12 / $4,799.35	Professional		$1,489.12	$1,489.12	$4,799.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,770.39 / $4,363.85 / $4,802.56	Facility		$2,770.39	$4,363.85	$4,802.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,809.35 / $4,272.75 / $7,455.00	Facility		$2,809.35	$4,272.75	$7,455.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,198.63 / $4,799.35 / $7,048.86	Professional		$3,198.63	$4,799.35	$7,048.86
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 $4,386.39 / $5,190.41 / $7,601.29	Professional		$4,386.39	$5,190.41	$7,601.29
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 $3,125.73 / $4,553.33 / $7,130.79	Professional		$3,125.73	$4,553.33	$7,130.79