Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,972.00 / $20,400.00	Facility		$2,747.00	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,131.43 / $2,086.88 / $6,988.09	Professional		$1,131.43	$2,086.88	$6,988.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,592.00 / $2,982.57 / $3,966.95	Professional		$1,592.00	$2,982.57	$3,966.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,152.05 / $3,101.18 / $3,542.60	Professional		$2,152.05	$3,101.18	$3,542.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,397.40 / $2,671.62 / $4,486.79	Facility		$1,397.40	$2,671.62	$4,486.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,799.40 / $2,185.15 / $4,260.85	Professional		$1,799.40	$2,185.15	$4,260.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,557.71 / $2,329.17 / $2,702.78	Facility		$1,557.71	$2,329.17	$2,702.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,086.88 / $3,015.39 / $7,952.00	Facility		$2,086.88	$3,015.39	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,098.14 / $3,182.19 / $3,966.95	Professional		$2,098.14	$3,182.19	$3,966.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,495.79 / $3,309.90 / $4,231.67	Professional		$2,495.79	$3,309.90	$4,231.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,956.76 / $2,634.10 / $4,317.29	Professional		$1,956.76	$2,634.10	$4,317.29