Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,001.35 / $12,274.80 / $21,735.00	Facility		$3,001.35	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,424.29 / $2,440.13 / $8,416.04	Professional		$1,424.29	$2,440.13	$8,416.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,146.85 / $3,543.21 / $4,711.37	Professional		$2,146.85	$3,543.21	$4,711.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,546.85 / $3,674.64 / $4,160.54	Professional		$2,546.85	$3,674.64	$4,160.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,098.55 / $3,257.04 / $5,246.28	Facility		$2,098.55	$3,257.04	$5,246.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,322.90 / $2,715.41 / $5,089.43	Professional		$2,322.90	$2,715.41	$5,089.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,940.42 / $2,872.09 / $3,209.97	Facility		$1,940.42	$2,872.09	$3,209.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,440.13 / $3,802.05 / $9,999.15	Facility		$2,440.13	$3,802.05	$9,999.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,712.52 / $3,753.22 / $4,778.02	Professional		$2,712.52	$3,753.22	$4,778.02
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 $2,956.45 / $3,931.02 / $5,025.76	Professional		$2,956.45	$3,931.02	$5,025.76
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 $2,446.76 / $3,805.32 / $5,335.77	Professional		$2,446.76	$3,805.32	$5,335.77