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 $1,133.89 / $1,970.56 / $6,731.81	Professional		$1,133.89	$1,970.56	$6,731.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,707.02 / $2,861.36 / $3,798.79	Professional		$1,707.02	$2,861.36	$3,798.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,061.63 / $2,972.79 / $3,386.30	Professional		$2,061.63	$2,972.79	$3,386.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,461.28 / $2,583.67 / $4,236.70	Facility		$1,461.28	$2,583.67	$4,236.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.29 / $2,182.17 / $4,090.03	Professional		$1,876.29	$2,182.17	$4,090.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,672.16 / $2,371.42 / $2,588.21	Facility		$1,672.16	$2,371.42	$2,588.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,970.56 / $3,015.80 / $7,952.00	Facility		$1,970.56	$3,015.80	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,175.28 / $3,035.20 / $3,836.39	Professional		$2,175.28	$3,035.20	$3,836.39
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 $2,382.01 / $3,169.59 / $4,052.29	Professional		$2,382.01	$3,169.59	$4,052.29
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 $1,922.31 / $2,552.80 / $4,120.47	Professional		$1,922.31	$2,552.80	$4,120.47