Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,051.57 / $7,920.26 / $20,400.00	Facility		$2,051.57	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.26 / $966.48 / $2,403.23	Professional		$703.26	$966.48	$2,403.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,158.45 / $1,747.77 / $2,752.48	Professional		$1,158.45	$1,747.77	$2,752.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,499.27 / $1,853.65 / $2,241.27	Professional		$1,499.27	$1,853.65	$2,241.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,088.65 / $1,396.95 / $2,323.26	Facility		$1,088.65	$1,396.95	$2,323.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,457.94 / $1,615.20 / $2,832.30	Professional		$1,457.94	$1,615.20	$2,832.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,271.33 / $1,756.05 / $1,875.33	Facility		$1,271.33	$1,756.05	$1,875.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,099.45 / $1,690.12 / $5,217.00	Facility		$1,099.45	$1,690.12	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,481.72 / $1,803.94 / $2,591.60	Professional		$1,481.72	$1,803.94	$2,591.60
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 $1,713.48 / $2,009.58 / $2,969.32	Professional		$1,713.48	$2,009.58	$2,969.32
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 $1,217.13 / $1,753.70 / $2,788.66	Professional		$1,217.13	$1,753.70	$2,788.66