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 $1,173.57 / $1,925.89 / $6,677.08	Professional		$1,173.57	$1,925.89	$6,677.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,772.76 / $2,796.50 / $3,699.47	Professional		$1,772.76	$2,796.50	$3,699.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,006.09 / $2,888.79 / $3,279.34	Professional		$2,006.09	$2,888.79	$3,279.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,638.96 / $2,681.30 / $4,140.66	Facility		$1,638.96	$2,681.30	$4,140.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,928.82 / $2,163.98 / $3,986.05	Professional		$1,928.82	$2,163.98	$3,986.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,773.76 / $2,368.48 / $2,534.36	Facility		$1,773.76	$2,368.48	$2,534.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,925.89 / $3,140.72 / $7,952.00	Facility		$1,925.89	$3,140.72	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,216.67 / $2,952.97 / $3,725.66	Professional		$2,216.67	$2,952.97	$3,725.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,317.42 / $3,086.72 / $3,946.34	Professional		$2,317.42	$3,086.72	$3,946.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,914.90 / $2,748.17 / $4,008.77	Professional		$1,914.90	$2,748.17	$4,008.77