Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,770.13 / $9,338.46 / $20,400.00	Facility		$1,770.13	$9,338.46	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.85 / $1,203.66 / $4,079.67	Professional		$708.85	$1,203.66	$4,079.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.03 / $1,754.80 / $2,141.56	Professional		$1,044.03	$1,754.80	$2,141.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,134.86 / $1,637.09 / $1,866.71	Professional		$1,134.86	$1,637.09	$1,866.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,059.25 / $1,623.44 / $2,470.23	Facility		$1,059.25	$1,623.44	$2,470.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,132.02 / $1,301.40 / $2,250.31	Professional		$1,132.02	$1,301.40	$2,250.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,058.15 / $1,382.48 / $1,560.43	Facility		$1,058.15	$1,382.48	$1,560.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,203.66 / $1,886.15 / $5,626.00	Facility		$1,203.66	$1,886.15	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,325.94 / $1,779.52 / $2,378.04	Professional		$1,325.94	$1,779.52	$2,378.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,477.92 / $1,759.15 / $2,276.84	Professional		$1,477.92	$1,759.15	$2,276.84
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 $1,170.77 / $1,597.23 / $2,556.55	Professional		$1,170.77	$1,597.23	$2,556.55