Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,422.55 / $7,920.26 / $20,400.00	Facility		$2,422.55	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.76 / $1,689.96 / $5,564.50	Professional		$852.76	$1,689.96	$5,564.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.03 / $2,404.81 / $3,186.15	Professional		$1,275.03	$2,404.81	$3,186.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,739.30 / $2,493.94 / $2,863.16	Professional		$1,739.30	$2,493.94	$2,863.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,102.80 / $2,058.40 / $3,633.41	Facility		$1,102.80	$2,058.40	$3,633.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,398.60 / $1,767.90 / $3,411.00	Professional		$1,398.60	$1,767.90	$3,411.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,186.23 / $1,850.54 / $2,170.80	Facility		$1,186.23	$1,850.54	$2,170.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,612.53 / $2,424.56 / $5,626.00	Facility		$1,612.53	$2,424.56	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,637.16 / $2,547.58 / $3,186.15	Professional		$1,637.16	$2,547.58	$3,186.15
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 $2,008.07 / $2,658.42 / $3,398.76	Professional		$2,008.07	$2,658.42	$3,398.76
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 $1,516.23 / $2,075.66 / $3,473.64	Professional		$1,516.23	$2,075.66	$3,473.64