Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,677.06 / $7,920.26 / $20,400.00	Facility		$2,677.06	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.59 / $2,284.29 / $6,359.91	Professional		$1,166.59	$2,284.29	$6,359.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,849.74 / $2,921.27 / $4,054.17	Professional		$1,849.74	$2,921.27	$4,054.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,313.88 / $2,879.66 / $3,566.49	Professional		$2,313.88	$2,879.66	$3,566.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,828.12 / $2,924.35 / $4,088.38	Facility		$1,828.12	$2,924.35	$4,088.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,945.40 / $2,485.13 / $4,075.40	Professional		$1,945.40	$2,485.13	$4,075.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,816.43 / $2,745.39 / $2,982.84	Facility		$1,816.43	$2,745.39	$2,982.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,828.12 / $3,099.20 / $5,129.43	Facility		$1,828.12	$3,099.20	$5,129.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,264.35 / $3,054.07 / $4,088.27	Professional		$2,264.35	$3,054.07	$4,088.27
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 $2,339.06 / $3,065.06 / $4,213.53	Professional		$2,339.06	$3,065.06	$4,213.53
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 $2,231.30 / $3,160.07 / $4,731.14	Professional		$2,231.30	$3,160.07	$4,731.14