Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,699.56 / $8,878.56 / $20,400.00	Facility		$2,699.56	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.49 / $1,819.98 / $6,247.56	Professional		$909.49	$1,819.98	$6,247.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,572.02 / $2,649.87 / $3,577.53	Professional		$1,572.02	$2,649.87	$3,577.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,948.38 / $2,806.02 / $3,186.70	Professional		$1,948.38	$2,806.02	$3,186.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,374.08 / $2,329.94 / $3,912.96	Facility		$1,374.08	$2,329.94	$3,912.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,523.37 / $2,006.00 / $3,870.40	Professional		$1,523.37	$2,006.00	$3,870.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.67 / $2,052.00 / $2,437.46	Facility		$1,412.67	$2,052.00	$2,437.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,728.45 / $2,452.17 / $3,912.96	Facility		$1,728.45	$2,452.17	$3,912.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,902.78 / $2,828.40 / $3,577.53	Professional		$1,902.78	$2,828.40	$3,577.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,236.25 / $2,984.98 / $3,816.26	Professional		$2,236.25	$2,984.98	$3,816.26
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 $1,793.52 / $2,804.89 / $4,035.96	Professional		$1,793.52	$2,804.89	$4,035.96