Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,735.36 / $8,878.56 / $20,400.00	Facility		$2,735.36	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.18 / $1,654.27 / $6,424.80	Professional		$807.18	$1,654.27	$6,424.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,701.78 / $2,685.48 / $3,846.98	Professional		$1,701.78	$2,685.48	$3,846.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,005.33 / $2,883.19 / $3,282.13	Professional		$2,005.33	$2,883.19	$3,282.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,400.27 / $2,117.80 / $3,556.68	Facility		$1,400.27	$2,117.80	$3,556.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,537.28 / $2,292.76 / $4,168.52	Professional		$1,537.28	$2,292.76	$4,168.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,464.90 / $2,198.59 / $2,621.04	Facility		$1,464.90	$2,198.59	$2,621.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,642.80 / $2,856.85 / $8,061.00	Facility		$1,642.80	$2,856.85	$8,061.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,913.33 / $2,961.38 / $3,914.78	Professional		$1,913.33	$2,961.38	$3,914.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $16,642.54 / $20,571.93	Facility		$12,954.82	$16,642.54	$20,571.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,382.63 / $3,134.45 / $4,128.91	Professional		$2,382.63	$3,134.45	$4,128.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $24,872.00	Facility		$3,028.00	$18,628.00	$24,872.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,922.96 / $2,477.65 / $4,083.20	Professional		$1,922.96	$2,477.65	$4,083.20