Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,595.08 / $7,920.26 / $20,400.00	Facility		$2,595.08	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,221.95 / $2,324.09 / $6,225.25	Professional		$1,221.95	$2,324.09	$6,225.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,654.93 / $2,906.21 / $4,036.06	Professional		$1,654.93	$2,906.21	$4,036.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,271.80 / $2,863.36 / $3,657.95	Professional		$2,271.80	$2,863.36	$3,657.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,639.98 / $2,548.65 / $3,831.88	Facility		$1,639.98	$2,548.65	$3,831.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,838.40 / $2,428.94 / $4,166.01	Professional		$1,838.40	$2,428.94	$4,166.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,687.00 / $2,495.75 / $3,037.11	Facility		$1,687.00	$2,495.75	$3,037.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,782.27 / $3,049.33 / $5,222.76	Facility		$1,782.27	$3,049.33	$5,222.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,157.60 / $3,000.15 / $4,162.64	Professional		$2,157.60	$3,000.15	$4,162.64
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 $2,282.09 / $3,040.86 / $4,287.43	Professional		$2,282.09	$3,040.86	$4,287.43
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 $2,232.89 / $3,299.13 / $4,814.16	Professional		$2,232.89	$3,299.13	$4,814.16