Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,623.79 / $5,116.62 / $13,320.00	Facility		$1,623.79	$5,116.62	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.03 / $994.26 / $2,215.19	Professional		$733.03	$994.26	$2,215.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.22 / $1,774.83 / $2,771.24	Professional		$1,202.22	$1,774.83	$2,771.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,322.63 / $1,900.00 / $2,353.71	Professional		$1,322.63	$1,900.00	$2,353.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,022.54 / $1,406.97 / $2,440.19	Facility		$1,022.54	$1,406.97	$2,440.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.36 / $1,659.01 / $2,622.72	Professional		$1,319.36	$1,659.01	$2,622.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,282.20 / $1,805.11 / $2,012.01	Facility		$1,282.20	$1,805.11	$2,012.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,048.33 / $1,587.09 / $5,370.75	Facility		$1,048.33	$1,587.09	$5,370.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,478.08 / $1,866.88 / $2,540.54	Professional		$1,478.08	$1,866.88	$2,540.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,572.53 / $2,015.14 / $2,815.97	Professional		$1,572.53	$2,015.14	$2,815.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,282.00 / $1,843.40 / $2,931.28	Professional		$1,282.00	$1,843.40	$2,931.28