Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,857.08 / $4,962.67 / $15,341.00	Facility		$1,857.08	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.78 / $1,116.20 / $2,575.07	Professional		$733.78	$1,116.20	$2,575.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.94 / $1,811.48 / $2,795.03	Professional		$1,202.94	$1,811.48	$2,795.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,357.75 / $1,937.89 / $2,385.10	Professional		$1,357.75	$1,937.89	$2,385.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.77 / $1,418.26 / $2,445.17	Facility		$1,040.77	$1,418.26	$2,445.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.32 / $1,682.00 / $2,707.57	Professional		$1,403.32	$1,682.00	$2,707.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,205.00 / $1,873.46 / $2,046.18	Facility		$1,205.00	$1,873.46	$2,046.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,041.04 / $1,569.35 / $3,274.00	Facility		$1,041.04	$1,569.35	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,509.42 / $1,891.56 / $2,588.27	Professional		$1,509.42	$1,891.56	$2,588.27
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 $1,623.03 / $2,075.86 / $2,888.57	Professional		$1,623.03	$2,075.86	$2,888.57
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 $1,258.29 / $1,946.15 / $3,348.28	Professional		$1,258.29	$1,946.15	$3,348.28