Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.09 / $7,920.26 / $20,400.00	Facility		$1,961.09	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.58 / $1,325.15 / $4,485.72	Professional		$766.58	$1,325.15	$4,485.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.69 / $1,930.72 / $2,590.21	Professional		$1,123.69	$1,930.72	$2,590.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,395.77 / $2,009.71 / $2,281.02	Professional		$1,395.77	$2,009.71	$2,281.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,081.82 / $1,760.97 / $2,849.07	Facility		$1,081.82	$1,760.97	$2,849.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,278.57 / $1,479.70 / $2,773.37	Professional		$1,278.57	$1,479.70	$2,773.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,150.20 / $1,590.58 / $1,764.78	Facility		$1,150.20	$1,590.58	$1,764.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,325.15 / $2,045.95 / $5,626.00	Facility		$1,325.15	$2,045.95	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,439.46 / $2,054.23 / $2,590.21	Professional		$1,439.46	$2,054.23	$2,590.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,624.91 / $2,161.19 / $2,763.07	Professional		$1,624.91	$2,161.19	$2,763.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.96 / $1,811.09 / $2,810.82	Professional		$1,288.96	$1,811.09	$2,810.82