Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,079.67 / $9,972.00 / $20,400.00	Facility		$2,079.67	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.48 / $1,415.07 / $4,674.68	Professional		$851.48	$1,415.07	$4,674.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.60 / $2,068.92 / $2,744.61	Professional		$1,208.60	$2,068.92	$2,744.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,516.87 / $2,175.65 / $2,497.01	Professional		$1,516.87	$2,175.65	$2,497.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $972.87 / $1,897.81 / $3,042.40	Facility		$972.87	$1,897.81	$3,042.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,384.14 / $1,586.67 / $2,973.88	Professional		$1,384.14	$1,586.67	$2,973.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,053.64 / $1,671.65 / $1,869.97	Facility		$1,053.64	$1,671.65	$1,869.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,415.07 / $2,222.69 / $7,952.00	Facility		$1,415.07	$2,222.69	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,540.15 / $2,208.86 / $2,744.61	Professional		$1,540.15	$2,208.86	$2,744.61
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 $1,718.40 / $2,290.02 / $2,927.76	Professional		$1,718.40	$2,290.02	$2,927.76
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 $1,322.36 / $1,934.21 / $2,972.54	Professional		$1,322.36	$1,934.21	$2,972.54