Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,166.44 / $7,920.26 / $20,400.00	Facility		$2,166.44	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $982.16 / $1,325.67 / $5,204.64	Professional		$982.16	$1,325.67	$5,204.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,337.50 / $2,083.67 / $2,869.50	Professional		$1,337.50	$2,083.67	$2,869.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,852.57 / $2,232.19 / $2,541.07	Professional		$1,852.57	$2,232.19	$2,541.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,325.67 / $1,972.89 / $9,850.44	Facility		$1,325.67	$1,972.89	$9,850.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,562.73 / $2,025.62 / $3,106.52	Professional		$1,562.73	$2,025.62	$3,106.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,283.92 / $1,894.09 / $1,955.06	Facility		$1,283.92	$1,894.09	$1,955.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,325.67 / $2,209.23 / $9,850.44	Facility		$1,325.67	$2,209.23	$9,850.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,740.58 / $2,279.19 / $2,987.00	Professional		$1,740.58	$2,279.19	$2,987.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,734.73 / $2,990.45 / $3,965.49	Facility		$1,734.73	$2,990.45	$3,965.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,783.59 / $2,346.39 / $3,090.82	Professional		$1,783.59	$2,346.39	$3,090.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,498.31 / $2,443.83 / $7,901.62	Professional		$1,498.31	$2,443.83	$7,901.62