Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $10,347.48 / $32,689.00	Facility		$2,747.00	$10,347.48	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.91 / $961.91 / $961.91	Professional		$769.91	$961.91	$961.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,398.76 / $1,778.64 / $2,600.40	Professional		$1,398.76	$1,778.64	$2,600.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,302.15 / $1,588.88 / $1,729.32	Professional		$1,302.15	$1,588.88	$1,729.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $559.33 / $1,010.01 / $2,068.11	Facility		$559.33	$1,010.01	$2,068.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $249.38 / $623.44 / $680.88	Facility		$249.38	$623.44	$680.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.70 / $1,058.09 / $2,068.11	Facility		$267.70	$1,058.09	$2,068.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $1,399.56 / $2,435.81	Professional		$321.24	$1,399.56	$2,435.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32,811.37 / $41,101.12 / $50,839.89	Facility		$32,811.37	$41,101.12	$50,839.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,351.22 / $1,816.59 / $2,322.48	Professional		$1,351.22	$1,816.59	$2,322.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,160.70 / $1,787.04 / $2,337.38	Professional		$1,160.70	$1,787.04	$2,337.38