Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,972.00 / $20,400.00	Facility		$2,747.00	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.99 / $1,821.11 / $6,484.36	Professional		$1,106.99	$1,821.11	$6,484.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,685.63 / $2,738.12 / $3,662.10	Professional		$1,685.63	$2,738.12	$3,662.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,976.30 / $2,842.54 / $3,218.25	Professional		$1,976.30	$2,842.54	$3,218.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,749.53 / $2,665.98 / $3,915.39	Facility		$1,749.53	$2,665.98	$3,915.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,915.05 / $2,105.40 / $3,930.88	Professional		$1,915.05	$2,105.40	$3,930.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,625.98 / $2,285.81 / $2,512.60	Facility		$1,625.98	$2,285.81	$2,512.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,821.11 / $3,034.88 / $7,952.00	Facility		$1,821.11	$3,034.88	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,148.02 / $2,910.49 / $3,685.76	Professional		$2,148.02	$2,910.49	$3,685.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,294.06 / $3,055.54 / $3,906.48	Professional		$2,294.06	$3,055.54	$3,906.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,868.78 / $2,785.53 / $3,968.33	Professional		$1,868.78	$2,785.53	$3,968.33