Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,224.33 / $5,649.00 / $15,341.00	Facility		$2,224.33	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.84 / $1,320.79 / $5,334.48	Professional		$1,021.84	$1,320.79	$5,334.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,401.45 / $2,187.56 / $2,978.66	Professional		$1,401.45	$2,187.56	$2,978.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,625.37 / $2,318.28 / $2,610.15	Professional		$1,625.37	$2,318.28	$2,610.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,320.79 / $2,059.77 / $2,851.77	Facility		$1,320.79	$2,059.77	$2,851.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,588.65 / $1,804.44 / $3,232.77	Professional		$1,588.65	$1,804.44	$3,232.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,420.55 / $1,902.12 / $2,029.43	Facility		$1,420.55	$1,902.12	$2,029.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,320.79 / $2,235.87 / $2,839.70	Facility		$1,320.79	$2,235.87	$2,839.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,785.89 / $2,364.80 / $2,975.15	Professional		$1,785.89	$2,364.80	$2,975.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,774.58 / $8,386.92	Facility		$4,993.29	$6,774.58	$8,386.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,839.55 / $2,485.29 / $3,177.42	Professional		$1,839.55	$2,485.29	$3,177.42
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 $1,522.42 / $2,202.66 / $3,182.13	Professional		$1,522.42	$2,202.66	$3,182.13