Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,191.34 / $7,920.26 / $25,042.64	Facility		$2,191.34	$7,920.26	$25,042.64
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,032.14 / $1,154.58 / $1,278.13	Facility	52	$1,032.14	$1,154.58	$1,278.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.70 / $1,272.99 / $4,232.00	Professional		$907.70	$1,272.99	$4,232.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.18 / $2,275.19 / $3,048.48	Professional		$1,323.18	$2,275.19	$3,048.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,642.41 / $2,366.71 / $2,690.95	Professional		$1,642.41	$2,366.71	$2,690.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,215.19 / $2,074.39 / $3,365.29	Facility		$1,215.19	$2,074.39	$3,365.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,507.05 / $1,740.08 / $3,261.40	Professional		$1,507.05	$1,740.08	$3,261.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,347.39 / $1,863.27 / $2,077.00	Facility		$1,347.39	$1,863.27	$2,077.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,565.25 / $2,403.80 / $9,999.15	Facility		$1,565.25	$2,403.80	$9,999.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,692.24 / $2,425.09 / $3,048.48	Professional		$1,692.24	$2,425.09	$3,048.48
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 $1,912.74 / $2,543.55 / $3,251.90	Professional		$1,912.74	$2,543.55	$3,251.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $22,956.00	Facility		$2,912.00	$16,268.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.63 / $2,328.87 / $3,308.72	Professional		$1,512.63	$2,328.87	$3,308.72