Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,227.14 / $8,878.56 / $20,400.00	Facility		$2,227.14	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.07 / $1,431.29 / $5,258.98	Professional		$915.07	$1,431.29	$5,258.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,373.30 / $2,257.54 / $3,039.63	Professional		$1,373.30	$2,257.54	$3,039.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,624.01 / $2,331.63 / $2,625.18	Professional		$1,624.01	$2,331.63	$2,625.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,431.29 / $2,046.74 / $3,077.27	Facility		$1,431.29	$2,046.74	$3,077.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.45 / $1,761.03 / $3,300.66	Professional		$1,509.45	$1,761.03	$3,300.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,421.52 / $1,904.09 / $2,070.96	Facility		$1,421.52	$1,904.09	$2,070.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,431.29 / $2,409.48 / $6,246.00	Facility		$1,431.29	$2,409.48	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,750.02 / $2,392.26 / $3,056.71	Professional		$1,750.02	$2,392.26	$3,056.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,761.83 / $19,243.91 / $24,411.82	Facility		$14,761.83	$19,243.91	$24,411.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,889.99 / $2,536.17 / $3,242.46	Professional		$1,889.99	$2,536.17	$3,242.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,564.15 / $2,209.33 / $3,269.35	Professional		$1,564.15	$2,209.33	$3,269.35