Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,968.24 / $9,972.00 / $20,400.00	Facility		$2,968.24	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,329.66 / $2,235.65 / $7,729.66	Professional		$1,329.66	$2,235.65	$7,729.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,970.41 / $3,457.74 / $4,406.52	Professional		$1,970.41	$3,457.74	$4,406.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,396.30 / $3,447.26 / $3,903.40	Professional		$2,396.30	$3,447.26	$3,903.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,235.65 / $3,015.92 / $4,806.64	Facility		$2,235.65	$3,015.92	$4,806.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,389.02 / $2,923.64 / $4,766.92	Professional		$2,389.02	$2,923.64	$4,766.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,972.14 / $2,770.77 / $3,002.27	Facility		$1,972.14	$2,770.77	$3,002.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,235.65 / $3,486.50 / $4,806.64	Facility		$2,235.65	$3,486.50	$4,806.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,566.92 / $3,539.93 / $4,424.91	Professional		$2,566.92	$3,539.93	$4,424.91
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 $2,755.95 / $3,676.66 / $4,700.57	Professional		$2,755.95	$3,676.66	$4,700.57
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 $2,228.66 / $3,105.40 / $4,767.34	Professional		$2,228.66	$3,105.40	$4,767.34