Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.23 / $8,878.56 / $20,400.00	Facility		$2,626.23	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,252.22 / $1,774.83 / $5,983.12	Professional		$1,252.22	$1,774.83	$5,983.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,664.20 / $2,585.83 / $3,577.52	Professional		$1,664.20	$2,585.83	$3,577.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,871.21 / $2,696.01 / $3,064.86	Professional		$1,871.21	$2,696.01	$3,064.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,419.30 / $2,573.35 / $4,061.38	Facility		$1,419.30	$2,573.35	$4,061.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,869.07 / $2,307.23 / $3,715.49	Professional		$1,869.07	$2,307.23	$3,715.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,626.59 / $2,279.46 / $2,848.84	Facility		$1,626.59	$2,279.46	$2,848.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,774.83 / $3,034.24 / $6,246.00	Facility		$1,774.83	$3,034.24	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,076.46 / $2,828.80 / $3,504.22	Professional		$2,076.46	$2,828.80	$3,504.22
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 $2,174.75 / $2,892.26 / $3,697.73	Professional		$2,174.75	$2,892.26	$3,697.73
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 $1,747.98 / $2,888.31 / $3,761.94	Professional		$1,747.98	$2,888.31	$3,761.94