Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,372.89 / $7,920.26 / $20,400.00	Facility		$2,372.89	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.52 / $1,222.86 / $3,390.51	Professional		$911.52	$1,222.86	$3,390.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,360.01 / $2,025.53 / $3,179.27	Professional		$1,360.01	$2,025.53	$3,179.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,728.63 / $2,137.21 / $2,576.75	Professional		$1,728.63	$2,137.21	$2,576.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,296.25 / $1,712.38 / $3,114.88	Facility		$1,296.25	$1,712.38	$3,114.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,675.35 / $1,901.59 / $3,278.58	Professional		$1,675.35	$1,901.59	$3,278.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,409.51 / $1,997.69 / $2,166.11	Facility		$1,409.51	$1,997.69	$2,166.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,386.21 / $2,332.10 / $6,437.00	Facility		$1,386.21	$2,332.10	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,744.05 / $2,086.89 / $3,012.45	Professional		$1,744.05	$2,086.89	$3,012.45
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 $1,983.47 / $2,345.50 / $3,437.21	Professional		$1,983.47	$2,345.50	$3,437.21
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 $1,409.80 / $2,076.36 / $3,251.71	Professional		$1,409.80	$2,076.36	$3,251.71