Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,058.75 / $11,652.00 / $23,856.49	Facility		$2,058.75	$11,652.00	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.05 / $1,245.74 / $4,947.58	Professional		$1,032.05	$1,245.74	$4,947.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.90 / $2,089.14 / $2,831.15	Professional		$1,389.90	$2,089.14	$2,831.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,493.39 / $2,105.30 / $2,396.61	Professional		$1,493.39	$2,105.30	$2,396.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,245.74 / $1,942.73 / $3,010.05	Facility		$1,245.74	$1,942.73	$3,010.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,541.91 / $1,998.55 / $3,065.13	Professional		$1,541.91	$1,998.55	$3,065.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.93 / $1,819.22 / $2,093.75	Facility		$1,380.93	$1,819.22	$2,093.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,245.74 / $2,094.33 / $3,010.05	Facility		$1,245.74	$2,094.33	$3,010.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,746.59 / $2,240.94 / $2,949.92	Professional		$1,746.59	$2,240.94	$2,949.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,760.22 / $2,315.64 / $3,050.32	Professional		$1,760.22	$2,315.64	$3,050.32
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 $1,478.37 / $2,156.23 / $3,016.54	Professional		$1,478.37	$2,156.23	$3,016.54