Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,878.56 / $20,400.00	Facility		$2,747.00	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.28 / $1,921.22 / $6,394.42	Professional		$960.28	$1,921.22	$6,394.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,447.44 / $2,739.67 / $3,642.44	Professional		$1,447.44	$2,739.67	$3,642.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,980.10 / $2,848.11 / $3,259.56	Professional		$1,980.10	$2,848.11	$3,259.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,255.48 / $2,420.28 / $4,130.62	Facility		$1,255.48	$2,420.28	$4,130.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,622.40 / $1,965.15 / $3,906.48	Professional		$1,622.40	$1,965.15	$3,906.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.47 / $2,022.70 / $2,481.67	Facility		$1,380.47	$2,022.70	$2,481.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,816.77 / $2,765.20 / $6,246.00	Facility		$1,816.77	$2,765.20	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,866.07 / $2,903.33 / $3,642.44	Professional		$1,866.07	$2,903.33	$3,642.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,292.83 / $3,039.13 / $3,885.50	Professional		$2,292.83	$3,039.13	$3,885.50
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 $1,806.84 / $2,403.81 / $3,966.20	Professional		$1,806.84	$2,403.81	$3,966.20