Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,935.03 / $7,920.26 / $20,400.00	Facility		$1,935.03	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.14 / $1,008.77 / $2,270.34	Professional		$655.14	$1,008.77	$2,270.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,073.88 / $1,631.78 / $2,574.23	Professional		$1,073.88	$1,631.78	$2,574.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,413.46 / $1,747.55 / $2,115.98	Professional		$1,413.46	$1,747.55	$2,115.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,036.05 / $1,316.39 / $2,456.54	Facility		$1,036.05	$1,316.39	$2,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.30 / $1,508.55 / $2,827.46	Professional		$1,389.30	$1,508.55	$2,827.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,185.11 / $1,640.66 / $1,768.13	Facility		$1,185.11	$1,640.66	$1,768.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,064.46 / $1,797.14 / $5,852.00	Facility		$1,064.46	$1,797.14	$5,852.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,396.53 / $1,700.34 / $2,438.65	Professional		$1,396.53	$1,700.34	$2,438.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,615.07 / $1,867.74 / $2,798.79	Professional		$1,615.07	$1,867.74	$2,798.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,236.27 / $1,610.77 / $2,583.55	Professional		$1,236.27	$1,610.77	$2,583.55