Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,833.34 / $8,878.56 / $20,400.00	Facility		$1,833.34	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.02 / $1,239.26 / $4,178.07	Professional		$723.02	$1,239.26	$4,178.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.75 / $1,804.12 / $2,423.05	Professional		$1,041.75	$1,804.12	$2,423.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,304.99 / $1,880.09 / $2,136.57	Professional		$1,304.99	$1,880.09	$2,136.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,078.52 / $1,654.34 / $2,664.41	Facility		$1,078.52	$1,654.34	$2,664.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,185.34 / $1,382.90 / $2,591.94	Professional		$1,185.34	$1,382.90	$2,591.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,061.54 / $1,467.97 / $1,650.88	Facility		$1,061.54	$1,467.97	$1,650.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,239.26 / $1,892.10 / $6,246.00	Facility		$1,239.26	$1,892.10	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,354.32 / $1,924.03 / $2,423.05	Professional		$1,354.32	$1,924.03	$2,423.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,517.89 / $2,021.71 / $2,584.73	Professional		$1,517.89	$2,021.71	$2,584.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,198.33 / $1,660.08 / $2,625.71	Professional		$1,198.33	$1,660.08	$2,625.71