Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,917.74 / $7,920.26 / $20,400.00	Facility		$1,917.74	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.82 / $1,862.27 / $4,616.31	Professional		$904.82	$1,862.27	$4,616.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,278.01 / $2,239.41 / $3,230.33	Professional		$1,278.01	$2,239.41	$3,230.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,674.07 / $2,267.55 / $2,916.61	Professional		$1,674.07	$2,267.55	$2,916.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,222.68 / $2,068.73 / $3,041.52	Facility		$1,222.68	$2,068.73	$3,041.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.02 / $1,931.52 / $3,312.85	Professional		$1,409.02	$1,931.52	$3,312.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,304.95 / $2,071.77 / $2,419.37	Facility		$1,304.95	$2,071.77	$2,419.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.81 / $2,424.15 / $4,160.47	Facility		$1,318.81	$2,424.15	$4,160.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,628.75 / $2,307.50 / $3,264.93	Professional		$1,628.75	$2,307.50	$3,264.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,687.12 / $2,336.46 / $3,419.53	Professional		$1,687.12	$2,336.46	$3,419.53
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 $1,742.67 / $2,407.05 / $3,839.61	Professional		$1,742.67	$2,407.05	$3,839.61