Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,453.34 / $8,878.56 / $20,400.00	Facility		$2,453.34	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.22 / $1,660.04 / $5,571.92	Professional		$944.22	$1,660.04	$5,571.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,387.80 / $2,415.79 / $3,235.32	Professional		$1,387.80	$2,415.79	$3,235.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,746.79 / $2,517.82 / $2,865.81	Professional		$1,746.79	$2,517.82	$2,865.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,240.23 / $2,156.55 / $3,569.09	Facility		$1,240.23	$2,156.55	$3,569.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,585.14 / $1,842.56 / $3,466.17	Professional		$1,585.14	$1,842.56	$3,466.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,346.93 / $1,984.54 / $2,204.30	Facility		$1,346.93	$1,984.54	$2,204.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,660.04 / $2,547.44 / $6,246.00	Facility		$1,660.04	$2,547.44	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,769.65 / $2,579.89 / $3,235.32	Professional		$1,769.65	$2,579.89	$3,235.32
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 $2,030.82 / $2,699.45 / $3,451.21	Professional		$2,030.82	$2,699.45	$3,451.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $24,231.00	Facility		$2,912.00	$17,192.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,564.69 / $2,206.41 / $3,513.01	Professional		$1,564.69	$2,206.41	$3,513.01