Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,878.23 / $9,972.00 / $20,400.00	Facility		$2,878.23	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,178.50 / $2,198.80 / $7,389.27	Professional		$1,178.50	$2,198.80	$7,389.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,701.14 / $3,145.98 / $4,189.20	Professional		$1,701.14	$3,145.98	$4,189.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,269.07 / $3,273.30 / $3,735.24	Professional		$2,269.07	$3,273.30	$3,735.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,495.40 / $2,810.38 / $4,727.42	Facility		$1,495.40	$2,810.38	$4,727.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,919.40 / $2,333.17 / $4,501.67	Professional		$1,919.40	$2,333.17	$4,501.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,615.81 / $2,330.55 / $2,854.20	Facility		$1,615.81	$2,330.55	$2,854.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,198.80 / $3,172.77 / $7,952.00	Facility		$2,198.80	$3,172.77	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,167.79 / $3,352.53 / $4,189.20	Professional		$2,167.79	$3,352.53	$4,189.20
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 $2,634.17 / $3,495.33 / $4,468.74	Professional		$2,634.17	$3,495.33	$4,468.74
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 $2,121.21 / $2,590.89 / $4,556.68	Professional		$2,121.21	$2,590.89	$4,556.68