Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,065.02 / $7,920.26 / $20,400.00	Facility		$2,065.02	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.27 / $940.84 / $2,955.98	Professional		$671.27	$940.84	$2,955.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.48 / $1,737.73 / $2,620.53	Professional		$1,105.48	$1,737.73	$2,620.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,505.07 / $1,860.82 / $2,255.10	Professional		$1,505.07	$1,860.82	$2,255.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,086.85 / $1,380.95 / $2,502.82	Facility		$1,086.85	$1,380.95	$2,502.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,471.14 / $1,605.92 / $2,848.56	Professional		$1,471.14	$1,605.92	$2,848.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,236.93 / $1,710.51 / $1,884.04	Facility		$1,236.93	$1,710.51	$1,884.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,134.44 / $1,836.73 / $6,437.00	Facility		$1,134.44	$1,836.73	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,478.55 / $1,807.29 / $2,577.84	Professional		$1,478.55	$1,807.29	$2,577.84
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 $1,723.31 / $1,962.48 / $2,986.37	Professional		$1,723.31	$1,962.48	$2,986.37
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 $1,025.80 / $1,707.54 / $2,715.25	Professional		$1,025.80	$1,707.54	$2,715.25