Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,339.44 / $8,878.56 / $20,400.00	Facility		$2,339.44	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.72 / $1,065.36 / $3,355.99	Professional		$762.72	$1,065.36	$3,355.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,247.15 / $1,939.95 / $3,019.74	Professional		$1,247.15	$1,939.95	$3,019.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,710.34 / $2,114.60 / $2,561.06	Professional		$1,710.34	$2,114.60	$2,561.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,198.55 / $1,522.86 / $2,754.59	Facility		$1,198.55	$1,522.86	$2,754.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,563.54 / $1,824.99 / $3,226.74	Professional		$1,563.54	$1,824.99	$3,226.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,385.19 / $1,915.53 / $2,139.98	Facility		$1,385.19	$1,915.53	$2,139.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,242.33 / $2,054.33 / $7,339.00	Facility		$1,242.33	$2,054.33	$7,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,679.41 / $2,047.23 / $2,920.08	Professional		$1,679.41	$2,047.23	$2,920.08
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 $1,952.11 / $2,232.98 / $3,382.85	Professional		$1,952.11	$2,232.98	$3,382.85
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 $1,306.90 / $1,854.08 / $3,345.40	Professional		$1,306.90	$1,854.08	$3,345.40