Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,550.02 / $8,878.56 / $20,400.00	Facility		$2,550.02	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.18 / $1,161.72 / $3,648.78	Professional		$817.18	$1,161.72	$3,648.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,366.81 / $2,160.00 / $3,284.89	Professional		$1,366.81	$2,160.00	$3,284.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,857.86 / $2,296.98 / $2,780.04	Professional		$1,857.86	$2,296.98	$2,780.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,365.89 / $1,735.48 / $3,075.77	Facility		$1,365.89	$1,735.48	$3,075.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,810.38 / $1,983.49 / $3,518.52	Professional		$1,810.38	$1,983.49	$3,518.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,535.38 / $2,119.88 / $2,326.91	Facility		$1,535.38	$2,119.88	$2,326.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,398.52 / $2,297.50 / $7,339.00	Facility		$1,398.52	$2,297.50	$7,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,826.10 / $2,232.34 / $3,215.75	Professional		$1,826.10	$2,232.34	$3,215.75
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 $2,128.62 / $2,427.19 / $3,688.73	Professional		$2,128.62	$2,427.19	$3,688.73
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 $1,394.35 / $2,126.08 / $3,401.73	Professional		$1,394.35	$2,126.08	$3,401.73