Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,251.94 / $8,878.56 / $20,400.00	Facility		$2,251.94	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.62 / $1,025.95 / $3,225.97	Professional		$731.62	$1,025.95	$3,225.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,218.11 / $1,924.31 / $2,906.55	Professional		$1,218.11	$1,924.31	$2,906.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,641.85 / $2,029.92 / $2,458.53	Professional		$1,641.85	$2,029.92	$2,458.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,206.05 / $1,532.39 / $2,767.54	Facility		$1,206.05	$1,532.39	$2,767.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,623.42 / $1,751.96 / $3,106.77	Professional		$1,623.42	$1,751.96	$3,106.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,366.29 / $1,879.35 / $2,056.90	Facility		$1,366.29	$1,879.35	$2,056.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,240.20 / $2,040.04 / $7,339.00	Facility		$1,240.20	$2,040.04	$7,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,627.31 / $1,971.12 / $2,836.70	Professional		$1,627.31	$1,971.12	$2,836.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,879.53 / $2,141.27 / $3,257.08	Professional		$1,879.53	$2,141.27	$3,257.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,338.73 / $1,904.51 / $3,028.46	Professional		$1,338.73	$1,904.51	$3,028.46