Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,878.56 / $20,400.00	Facility		$2,747.00	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,904.80 / $3,093.98 / $11,130.70	Professional		$1,904.80	$3,093.98	$11,130.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,900.61 / $4,657.14 / $6,277.89	Professional		$2,900.61	$4,657.14	$6,277.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,390.77 / $4,869.93 / $5,491.87	Professional		$3,390.77	$4,869.93	$5,491.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,044.02 / $4,587.08 / $6,652.06	Facility		$3,044.02	$4,587.08	$6,652.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,281.34 / $3,684.00 / $6,757.29	Professional		$3,281.34	$3,684.00	$6,757.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,974.83 / $4,048.56 / $4,277.28	Facility		$2,974.83	$4,048.56	$4,277.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,093.98 / $5,080.58 / $6,652.06	Facility		$3,093.98	$5,080.58	$6,652.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,696.29 / $4,982.22 / $6,311.18	Professional		$3,696.29	$4,982.22	$6,311.18
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 $3,928.19 / $5,238.07 / $6,696.82	Professional		$3,928.19	$5,238.07	$6,696.82
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 $3,164.20 / $4,645.79 / $6,731.91	Professional		$3,164.20	$4,645.79	$6,731.91