Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,498.76 / $9,972.00 / $20,400.00	Facility		$2,498.76	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.54 / $1,711.46 / $5,655.44	Professional		$865.54	$1,711.46	$5,655.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.54 / $2,485.14 / $3,290.39	Professional		$1,393.54	$2,485.14	$3,290.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.31 / $2,561.46 / $2,927.36	Professional		$1,778.31	$2,561.46	$2,927.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,127.53 / $2,191.01 / $3,679.64	Facility		$1,127.53	$2,191.01	$3,679.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,577.43 / $1,841.28 / $3,513.93	Professional		$1,577.43	$1,841.28	$3,513.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,361.98 / $1,948.59 / $2,241.82	Facility		$1,361.98	$1,948.59	$2,241.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,711.46 / $2,528.75 / $7,952.00	Facility		$1,711.46	$2,528.75	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,801.80 / $2,620.80 / $3,290.39	Professional		$1,801.80	$2,620.80	$3,290.39
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 $2,066.50 / $2,745.39 / $3,509.95	Professional		$2,066.50	$2,745.39	$3,509.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $22,956.00	Facility		$2,912.00	$16,268.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,608.03 / $2,201.90 / $3,541.44	Professional		$1,608.03	$2,201.90	$3,541.44