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 $4,846.64 / $5,861.70 / $6,832.95	Professional		$4,846.64	$5,861.70	$6,832.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,429.93 / $9,685.64 / $13,946.22	Professional		$7,429.93	$9,685.64	$13,946.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,014.85 / $9,832.18 / $10,701.22	Professional		$8,014.85	$9,832.18	$10,701.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,861.70 / $6,154.79 / $12,602.66	Facility		$5,861.70	$6,154.79	$12,602.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,044.30 / $6,901.40 / $8,407.16	Facility		$5,044.30	$6,901.40	$8,407.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,861.70 / $7,971.28 / $12,602.66	Facility		$5,861.70	$7,971.28	$12,602.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,429.93 / $9,975.66 / $13,170.25	Professional		$7,429.93	$9,975.66	$13,170.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,679.88 / $10,295.62 / $13,162.85	Professional		$7,679.88	$10,295.62	$13,162.85
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 $5,781.87 / $7,951.99 / $13,161.29	Professional		$5,781.87	$7,951.99	$13,161.29