Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,268.00 / $5,649.00 / $15,341.00	Facility		$2,268.00	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.07 / $1,536.48 / $5,192.60	Professional		$937.07	$1,536.48	$5,192.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.29 / $2,231.06 / $2,998.32	Professional		$1,348.29	$2,231.06	$2,998.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,637.77 / $2,361.48 / $2,690.09	Professional		$1,637.77	$2,361.48	$2,690.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,260.07 / $2,126.69 / $3,303.43	Facility		$1,260.07	$2,126.69	$3,303.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,533.57 / $1,733.29 / $3,248.68	Professional		$1,533.57	$1,733.29	$3,248.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,326.71 / $1,877.34 / $2,042.83	Facility		$1,326.71	$1,877.34	$2,042.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,536.48 / $2,426.76 / $3,512.95	Facility		$1,536.48	$2,426.76	$3,512.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,727.22 / $2,386.38 / $3,016.44	Professional		$1,727.22	$2,386.38	$3,016.44
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 $1,877.68 / $2,501.69 / $3,198.40	Professional		$1,877.68	$2,501.69	$3,198.40
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 $1,429.02 / $2,085.61 / $3,217.87	Professional		$1,429.02	$2,085.61	$3,217.87