Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,969.48 / $7,920.26 / $20,400.00	Facility		$1,969.48	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.99 / $914.75 / $2,310.30	Professional		$666.99	$914.75	$2,310.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,106.36 / $1,661.12 / $2,622.59	Professional		$1,106.36	$1,661.12	$2,622.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,439.46 / $1,779.69 / $2,154.42	Professional		$1,439.46	$1,779.69	$2,154.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,054.48 / $1,339.80 / $2,505.60	Facility		$1,054.48	$1,339.80	$2,505.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,419.66 / $1,536.87 / $2,717.40	Professional		$1,419.66	$1,536.87	$2,717.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,234.99 / $1,664.65 / $1,799.62	Facility		$1,234.99	$1,664.65	$1,799.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,081.43 / $1,807.07 / $5,852.00	Facility		$1,081.43	$1,807.07	$5,852.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,422.41 / $1,730.77 / $2,482.35	Professional		$1,422.41	$1,730.77	$2,482.35
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 $1,643.98 / $1,902.83 / $2,848.88	Professional		$1,643.98	$1,902.83	$2,848.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,160.74 / $1,717.87 / $2,659.46	Professional		$1,160.74	$1,717.87	$2,659.46