Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.25 / $5,116.62 / $15,341.00	Facility		$1,412.25	$5,116.62	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.97 / $1,225.49 / $2,595.34	Professional		$760.97	$1,225.49	$2,595.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.97 / $1,836.50 / $2,475.17	Professional		$1,150.97	$1,836.50	$2,475.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,315.55 / $1,875.13 / $2,111.19	Professional		$1,315.55	$1,875.13	$2,111.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,225.49 / $1,780.75 / $2,634.80	Facility		$1,225.49	$1,780.75	$2,634.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,295.91 / $1,544.96 / $2,681.07	Professional		$1,295.91	$1,544.96	$2,681.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,184.11 / $1,602.58 / $1,686.39	Facility		$1,184.11	$1,602.58	$1,686.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,225.49 / $1,911.15 / $2,356.58	Facility		$1,225.49	$1,911.15	$2,356.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,466.70 / $1,966.83 / $2,485.76	Professional		$1,466.70	$1,966.83	$2,485.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,391.99 / $4,391.99 / $4,391.99	Facility		$4,391.99	$4,391.99	$4,391.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,538.19 / $2,065.19 / $2,640.33	Professional		$1,538.19	$2,065.19	$2,640.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,271.92 / $1,806.37 / $2,660.81	Professional		$1,271.92	$1,806.37	$2,660.81