Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,259.81 / $9,972.00 / $20,400.00	Facility		$2,259.81	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.83 / $1,529.94 / $5,120.72	Professional		$806.83	$1,529.94	$5,120.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.22 / $2,226.62 / $2,976.69	Professional		$1,269.22	$2,226.62	$2,976.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,605.60 / $2,314.60 / $2,634.95	Professional		$1,605.60	$2,314.60	$2,634.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,250.01 / $1,945.56 / $3,289.37	Facility		$1,250.01	$1,945.56	$3,289.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,353.60 / $1,685.12 / $3,186.09	Professional		$1,353.60	$1,685.12	$3,186.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,219.97 / $1,724.25 / $2,028.09	Facility		$1,219.97	$1,724.25	$2,028.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,529.94 / $2,225.07 / $7,952.00	Facility		$1,529.94	$2,225.07	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,595.79 / $2,359.50 / $2,976.69	Professional		$1,595.79	$2,359.50	$2,976.69
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 $1,870.92 / $2,483.65 / $3,175.32	Professional		$1,870.92	$2,483.65	$3,175.32
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 $1,465.46 / $1,968.94 / $3,206.27	Professional		$1,465.46	$1,968.94	$3,206.27