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 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,136.22 / $2,271.63 / $2,271.63	Professional		$1,136.22	$2,271.63	$2,271.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,501.08 / $4,168.38 / $5,997.42	Professional		$2,501.08	$4,168.38	$5,997.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,221.27 / $3,763.57 / $4,141.59	Professional		$3,221.27	$3,763.57	$4,141.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,271.63 / $3,240.32 / $4,884.00	Facility		$2,271.63	$3,240.32	$4,884.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,045.38 / $3,138.15 / $3,408.96	Facility		$2,045.38	$3,138.15	$3,408.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,271.63 / $3,248.43 / $4,884.00	Facility		$2,271.63	$3,248.43	$4,884.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,263.64 / $4,084.77 / $5,535.74	Professional		$2,263.64	$4,084.77	$5,535.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,263.82 / $3,686.51 / $5,731.87	Professional		$3,263.82	$3,686.51	$5,731.87
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 $2,086.06 / $3,040.69 / $5,721.64	Professional		$2,086.06	$3,040.69	$5,721.64