Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,878.56 / $20,400.00	Facility		$2,747.00	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.40 / $1,890.70 / $6,392.23	Professional		$1,195.40	$1,890.70	$6,392.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,774.33 / $2,757.33 / $3,804.78	Professional		$1,774.33	$2,757.33	$3,804.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.09 / $2,873.14 / $3,263.11	Professional		$1,995.09	$2,873.14	$3,263.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,544.42 / $2,709.95 / $4,065.01	Facility		$1,544.42	$2,709.95	$4,065.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,993.43 / $2,445.96 / $3,962.70	Professional		$1,993.43	$2,445.96	$3,962.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,810.56 / $2,430.38 / $3,040.46	Facility		$1,810.56	$2,430.38	$3,040.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,890.70 / $3,236.75 / $6,246.00	Facility		$1,890.70	$3,236.75	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,213.87 / $3,008.04 / $3,736.64	Professional		$2,213.87	$3,008.04	$3,736.64
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 $2,319.89 / $3,083.44 / $3,942.14	Professional		$2,319.89	$3,083.44	$3,942.14
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 $1,766.13 / $2,888.14 / $4,013.04	Professional		$1,766.13	$2,888.14	$4,013.04