Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,219.55 / $7,920.26 / $21,735.00	Facility		$2,219.55	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $847.02 / $1,143.30 / $3,722.00	Professional		$847.02	$1,143.30	$3,722.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.76 / $1,892.41 / $2,978.66	Professional		$1,207.76	$1,892.41	$2,978.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,620.76 / $2,003.85 / $2,421.77	Professional		$1,620.76	$2,003.85	$2,421.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,197.88 / $1,601.63 / $2,905.84	Facility		$1,197.88	$1,601.63	$2,905.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,521.34 / $1,738.50 / $3,064.08	Professional		$1,521.34	$1,738.50	$3,064.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.83 / $1,870.45 / $2,029.43	Facility		$1,380.83	$1,870.45	$2,029.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,240.66 / $2,181.26 / $10,990.00	Facility		$1,240.66	$2,181.26	$10,990.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,592.65 / $1,951.57 / $2,811.05	Professional		$1,592.65	$1,951.57	$2,811.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,853.70 / $2,176.79 / $3,212.32	Professional		$1,853.70	$2,176.79	$3,212.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,061.75 / $1,909.51 / $3,206.59	Professional		$1,061.75	$1,909.51	$3,206.59