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 $1,061.13 / $2,261.06 / $2,261.06	Professional		$1,061.13	$2,261.06	$2,261.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,522.46 / $3,990.14 / $5,520.55	Professional		$2,522.46	$3,990.14	$5,520.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,096.48 / $3,784.02 / $4,307.99	Professional		$3,096.48	$3,784.02	$4,307.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,516.70 / $2,374.11 / $4,861.28	Facility		$1,516.70	$2,374.11	$4,861.28
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 $937.91 / $1,407.69 / $1,563.19	Facility		$937.91	$1,407.69	$1,563.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,516.70 / $2,894.61 / $4,861.28	Facility		$1,516.70	$2,894.61	$4,861.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,820.04 / $3,809.33 / $5,490.28	Professional		$1,820.04	$3,809.33	$5,490.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,045.62 / $4,006.66 / $5,277.84	Professional		$3,045.62	$4,006.66	$5,277.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $10,234.00 / $36,803.00	Facility		$2,446.00	$10,234.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,245.84 / $3,524.24 / $4,960.59	Professional		$2,245.84	$3,524.24	$4,960.59