Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,988.37 / $8,878.56 / $20,400.00	Facility		$1,988.37	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.38 / $905.42 / $2,847.42	Professional		$662.38	$905.42	$2,847.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.71 / $1,690.88 / $2,592.75	Professional		$1,093.71	$1,690.88	$2,592.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,448.13 / $1,790.41 / $2,173.12	Professional		$1,448.13	$1,790.41	$2,173.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,033.32 / $1,355.19 / $2,475.05	Facility		$1,033.32	$1,355.19	$2,475.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,356.08 / $1,544.22 / $2,740.80	Professional		$1,356.08	$1,544.22	$2,740.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,207.36 / $1,667.19 / $1,813.69	Facility		$1,207.36	$1,667.19	$1,813.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,070.23 / $1,773.89 / $7,339.00	Facility		$1,070.23	$1,773.89	$7,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,409.35 / $1,745.01 / $2,502.30	Professional		$1,409.35	$1,745.01	$2,502.30
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 $1,658.12 / $1,891.53 / $2,873.40	Professional		$1,658.12	$1,891.53	$2,873.40
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 $1,159.38 / $1,670.49 / $2,656.34	Professional		$1,159.38	$1,670.49	$2,656.34