Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,204.67 / $7,920.26 / $20,400.00	Facility		$2,204.67	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.40 / $1,247.27 / $2,933.69	Professional		$826.40	$1,247.27	$2,933.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.26 / $2,060.71 / $3,095.82	Professional		$1,326.26	$2,060.71	$3,095.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,602.30 / $2,134.60 / $2,621.81	Professional		$1,602.30	$2,134.60	$2,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,203.40 / $1,579.88 / $2,845.29	Facility		$1,203.40	$1,579.88	$2,845.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,605.96 / $1,861.80 / $3,192.46	Professional		$1,605.96	$1,861.80	$3,192.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,555.25 / $2,083.55 / $2,262.59	Facility		$1,555.25	$2,083.55	$2,262.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,266.29 / $1,883.70 / $5,370.75	Facility		$1,266.29	$1,883.70	$5,370.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,736.64 / $2,127.36 / $2,942.27	Professional		$1,736.64	$2,127.36	$2,942.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,115.96 / $14,408.62	Facility		$8,391.79	$11,115.96	$14,408.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,927.31 / $2,385.81 / $3,430.10	Professional		$1,927.31	$2,385.81	$3,430.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,508.23 / $2,182.13 / $3,545.67	Professional		$1,508.23	$2,182.13	$3,545.67