Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,618.57 / $12,274.80 / $21,735.00	Facility		$2,618.57	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.67 / $1,349.32 / $3,745.49	Professional		$975.67	$1,349.32	$3,745.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,430.06 / $2,227.78 / $3,511.65	Professional		$1,430.06	$2,227.78	$3,511.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,907.93 / $2,358.90 / $2,846.21	Professional		$1,907.93	$2,358.90	$2,846.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,431.80 / $1,889.76 / $3,434.52	Facility		$1,431.80	$1,889.76	$3,434.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,706.36 / $2,039.52 / $3,617.13	Professional		$1,706.36	$2,039.52	$3,617.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,615.04 / $2,204.09 / $2,392.57	Facility		$1,615.04	$2,204.09	$2,392.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,529.80 / $2,573.67 / $10,990.00	Facility		$1,529.80	$2,573.67	$10,990.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,877.63 / $2,303.80 / $3,322.15	Professional		$1,877.63	$2,303.80	$3,322.15
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 $2,188.28 / $2,578.41 / $3,792.12	Professional		$2,188.28	$2,578.41	$3,792.12
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 $1,249.42 / $2,215.67 / $3,750.14	Professional		$1,249.42	$2,215.67	$3,750.14