Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,259.42 / $7,920.26 / $21,735.00	Facility		$2,259.42	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.11 / $1,164.48 / $3,784.52	Professional		$866.11	$1,164.48	$3,784.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,285.61 / $1,924.19 / $3,028.81	Professional		$1,285.61	$1,924.19	$3,028.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,647.32 / $2,036.69 / $2,458.80	Professional		$1,647.32	$2,036.69	$2,458.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,236.91 / $1,629.53 / $2,959.86	Facility		$1,236.91	$1,629.53	$2,959.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.87 / $1,787.40 / $3,121.02	Professional		$1,659.87	$1,787.40	$3,121.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,397.30 / $1,932.28 / $2,063.60	Facility		$1,397.30	$1,932.28	$2,063.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,319.14 / $2,219.26 / $10,990.00	Facility		$1,319.14	$2,219.26	$10,990.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,657.15 / $1,986.53 / $2,862.35	Professional		$1,657.15	$1,986.53	$2,862.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,751.18	Facility		$7,382.73	$9,721.75	$12,751.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,888.14 / $2,223.82 / $3,272.01	Professional		$1,888.14	$2,223.82	$3,272.01
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 $1,345.69 / $1,999.26 / $3,235.79	Professional		$1,345.69	$1,999.26	$3,235.79