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 $983.78 / $2,526.79 / $2,526.79	Professional		$983.78	$2,526.79	$2,526.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,876.42 / $4,555.97 / $6,908.69	Professional		$2,876.42	$4,555.97	$6,908.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,676.54 / $4,492.79 / $5,388.47	Professional		$3,676.54	$4,492.79	$5,388.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,577.36 / $2,653.13 / $5,432.60	Facility		$1,577.36	$2,653.13	$5,432.60
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 $975.44 / $1,464.01 / $1,625.73	Facility		$975.44	$1,464.01	$1,625.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,577.36 / $3,234.80 / $5,432.60	Facility		$1,577.36	$3,234.80	$5,432.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,024.29 / $4,443.24 / $6,467.05	Professional		$2,024.29	$4,443.24	$6,467.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,587.47 / $4,898.83 / $6,520.58	Professional		$3,587.47	$4,898.83	$6,520.58
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 $2,373.00 / $3,963.66 / $5,430.82	Professional		$2,373.00	$3,963.66	$5,430.82