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 $974.75 / $974.76 / $2,064.05	Professional		$974.75	$974.76	$2,064.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,299.50 / $3,644.60 / $5,042.47	Professional		$2,299.50	$3,644.60	$5,042.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,827.41 / $3,455.18 / $3,933.66	Professional		$2,827.41	$3,455.18	$3,933.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,516.70 / $2,167.25 / $4,437.71	Facility		$1,516.70	$2,167.25	$4,437.71
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 $985.38 / $1,407.69 / $1,563.19	Facility		$985.38	$1,407.69	$1,563.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,516.70 / $2,642.40 / $4,437.71	Facility		$1,516.70	$2,642.40	$4,437.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,820.04 / $3,479.87 / $5,014.64	Professional		$1,820.04	$3,479.87	$5,014.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,781.78 / $3,659.56 / $4,820.60	Professional		$2,781.78	$3,659.56	$4,820.60
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 $2,103.42 / $3,300.76 / $4,699.22	Professional		$2,103.42	$3,300.76	$4,699.22