Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,165.38 / $12,274.80 / $59,023.00	Facility		$2,165.38	$12,274.80	$59,023.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,116.01 / $1,293.09 / $5,067.00	Professional		$1,116.01	$1,293.09	$5,067.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,508.18 / $2,437.88 / $3,294.32	Professional		$1,508.18	$2,437.88	$3,294.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,767.08 / $2,515.88 / $2,832.63	Professional		$1,767.08	$2,515.88	$2,832.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,293.09 / $2,170.08 / $3,137.78	Facility		$1,293.09	$2,170.08	$3,137.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,718.70 / $1,959.10 / $3,549.98	Professional		$1,718.70	$1,959.10	$3,549.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,543.62 / $2,134.62 / $2,252.16	Facility		$1,543.62	$2,134.62	$2,252.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,293.09 / $2,659.54 / $9,999.15	Facility		$1,293.09	$2,659.54	$9,999.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,921.90 / $2,628.48 / $3,303.72	Professional		$1,921.90	$2,628.48	$3,303.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $31,052.21 / $38,534.69	Facility		$23,713.19	$31,052.21	$38,534.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,052.96 / $2,748.68 / $3,514.15	Professional		$2,052.96	$2,748.68	$3,514.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,723.03 / $2,298.23 / $3,551.28	Professional		$1,723.03	$2,298.23	$3,551.28