Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,845.92 / $7,920.26 / $21,735.00	Facility		$1,845.92	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.15 / $1,268.98 / $3,147.94	Professional		$730.15	$1,268.98	$3,147.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.09 / $1,829.14 / $2,453.53	Professional		$1,120.09	$1,829.14	$2,453.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,328.39 / $1,917.18 / $2,172.44	Professional		$1,328.39	$1,917.18	$2,172.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,110.81 / $1,624.55 / $2,728.31	Facility		$1,110.81	$1,624.55	$2,728.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,248.48 / $1,415.73 / $2,653.49	Professional		$1,248.48	$1,415.73	$2,653.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,032.64 / $1,520.91 / $1,671.65	Facility		$1,032.64	$1,520.91	$1,671.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,268.98 / $1,943.03 / $9,325.04	Facility		$1,268.98	$1,943.03	$9,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,397.58 / $1,950.45 / $2,478.79	Professional		$1,397.58	$1,950.45	$2,478.79
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 $1,538.80 / $2,047.15 / $2,617.26	Professional		$1,538.80	$2,047.15	$2,617.26
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 $1,265.64 / $1,978.46 / $2,637.12	Professional		$1,265.64	$1,978.46	$2,637.12