Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,063.76 / $7,920.26 / $20,400.00	Facility		$2,063.76	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.10 / $944.80 / $2,932.11	Professional		$674.10	$944.80	$2,932.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.07 / $1,757.78 / $2,660.65	Professional		$1,122.07	$1,757.78	$2,660.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,526.39 / $1,887.18 / $2,288.81	Professional		$1,526.39	$1,887.18	$2,288.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,095.07 / $1,391.39 / $2,488.94	Facility		$1,095.07	$1,391.39	$2,488.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.66 / $1,628.01 / $2,855.67	Professional		$1,494.66	$1,628.01	$2,855.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,248.56 / $1,726.59 / $1,871.98	Facility		$1,248.56	$1,726.59	$1,871.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,151.85 / $1,847.83 / $6,437.00	Facility		$1,151.85	$1,847.83	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,491.97 / $1,811.81 / $2,584.28	Professional		$1,491.97	$1,811.81	$2,584.28
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 $1,727.62 / $1,963.19 / $2,993.83	Professional		$1,727.62	$1,963.19	$2,993.83
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 $1,192.31 / $1,717.95 / $2,731.81	Professional		$1,192.31	$1,717.95	$2,731.81