Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,646.77 / $8,878.56 / $20,400.00	Facility		$2,646.77	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,036.07 / $1,788.83 / $6,032.27	Professional		$1,036.07	$1,788.83	$6,032.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,507.30 / $2,605.69 / $3,492.96	Professional		$1,507.30	$2,605.69	$3,492.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,885.95 / $2,717.16 / $3,088.46	Professional		$1,885.95	$2,717.16	$3,088.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,418.56 / $2,371.16 / $3,845.98	Facility		$1,418.56	$2,371.16	$3,845.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,714.62 / $1,998.20 / $3,745.20	Professional		$1,714.62	$1,998.20	$3,745.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,480.34 / $2,139.98 / $2,379.84	Facility		$1,480.34	$2,139.98	$2,379.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,788.83 / $2,770.15 / $6,246.00	Facility		$1,788.83	$2,770.15	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,933.14 / $2,778.13 / $3,492.96	Professional		$1,933.14	$2,778.13	$3,492.96
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 $2,191.96 / $2,914.42 / $3,726.05	Professional		$2,191.96	$2,914.42	$3,726.05
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 $1,757.80 / $2,663.41 / $3,791.74	Professional		$1,757.80	$2,663.41	$3,791.74