Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $13,496.00	Facility		$2,747.00	$7,920.26	$13,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.56 / $1,868.74 / $6,934.90	Professional		$1,254.56	$1,868.74	$6,934.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,796.06 / $2,683.60 / $3,773.23	Professional		$1,796.06	$2,683.60	$3,773.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,013.01 / $2,847.54 / $3,241.55	Professional		$2,013.01	$2,847.54	$3,241.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,234.86 / $2,506.79 / $3,768.95	Facility		$1,234.86	$2,506.79	$3,768.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,036.66 / $2,900.70 / $4,048.64	Professional		$2,036.66	$2,900.70	$4,048.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,779.86 / $2,452.21 / $2,651.86	Facility		$1,779.86	$2,452.21	$2,651.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,234.86 / $2,733.80 / $3,768.95	Facility		$1,234.86	$2,733.80	$3,768.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,311.75 / $3,102.84 / $4,065.41	Professional		$2,311.75	$3,102.84	$4,065.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,666.93 / $6,666.93 / $6,666.93	Facility		$6,666.93	$6,666.93	$6,666.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,428.14 / $3,148.26 / $4,207.78	Professional		$2,428.14	$3,148.26	$4,207.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,049.84 / $2,759.40 / $4,200.28	Professional		$2,049.84	$2,759.40	$4,200.28