Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $11,377.08 / $42,921.00	Facility		$2,747.00	$11,377.08	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,960.20 / $2,344.08 / $3,693.75	Professional		$1,960.20	$2,344.08	$3,693.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,294.81 / $4,986.66 / $7,876.87	Professional		$3,294.81	$4,986.66	$7,876.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,236.26 / $5,237.56 / $6,328.09	Professional		$4,236.26	$5,237.56	$6,328.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,139.69 / $3,878.44 / $6,265.67	Facility		$3,139.69	$3,878.44	$6,265.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,576.78 / $1,576.78 / $5,363.32	Professional		$1,576.78	$1,576.78	$5,363.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,096.32 / $4,877.22 / $5,366.70	Facility		$3,096.32	$4,877.22	$5,366.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,218.92 / $4,775.24 / $10,530.00	Facility		$3,218.92	$4,775.24	$10,530.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,575.08 / $5,363.32 / $7,876.87	Professional		$3,575.08	$5,363.32	$7,876.87
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 $4,903.02 / $5,801.05 / $8,496.56	Professional		$4,903.02	$5,801.05	$8,496.56
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 $3,492.89 / $5,132.83 / $8,481.41	Professional		$3,492.89	$5,132.83	$8,481.41