Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,864.52 / $8,878.56 / $20,400.00	Facility		$1,864.52	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.00 / $1,262.45 / $4,232.75	Professional		$727.00	$1,262.45	$4,232.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.77 / $1,836.50 / $2,459.42	Professional		$1,053.77	$1,836.50	$2,459.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,328.90 / $1,915.93 / $2,181.87	Professional		$1,328.90	$1,915.93	$2,181.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,021.50 / $1,657.59 / $2,714.27	Facility		$1,021.50	$1,657.59	$2,714.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,205.72 / $1,406.67 / $2,636.50	Professional		$1,205.72	$1,406.67	$2,636.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,078.98 / $1,492.09 / $1,675.67	Facility		$1,078.98	$1,492.09	$1,675.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,262.45 / $1,928.65 / $6,246.00	Facility		$1,262.45	$1,928.65	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,347.06 / $1,962.14 / $2,459.42	Professional		$1,347.06	$1,962.14	$2,459.42
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 $1,543.11 / $2,052.07 / $2,623.55	Professional		$1,543.11	$2,052.07	$2,623.55
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 $1,164.84 / $1,624.98 / $2,669.32	Professional		$1,164.84	$1,624.98	$2,669.32