Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,283.85 / $5,649.00 / $15,341.00	Facility		$2,283.85	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.85 / $1,438.23 / $5,452.45	Professional		$939.85	$1,438.23	$5,452.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,433.35 / $2,309.06 / $3,102.56	Professional		$1,433.35	$2,309.06	$3,102.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,656.37 / $2,372.69 / $2,671.42	Professional		$1,656.37	$2,372.69	$2,671.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,438.23 / $2,148.19 / $3,092.19	Facility		$1,438.23	$2,148.19	$3,092.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,590.18 / $1,866.60 / $3,351.60	Professional		$1,590.18	$1,866.60	$3,351.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,469.97 / $1,999.95 / $2,113.85	Facility		$1,469.97	$1,999.95	$2,113.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,438.23 / $2,494.98 / $3,092.19	Facility		$1,438.23	$2,494.98	$3,092.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,826.54 / $2,446.86 / $3,122.36	Professional		$1,826.54	$2,446.86	$3,122.36
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 $1,930.58 / $2,588.67 / $3,309.60	Professional		$1,930.58	$2,588.67	$3,309.60
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 $1,648.63 / $2,305.84 / $3,308.51	Professional		$1,648.63	$2,305.84	$3,308.51