Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,026.89 / $7,920.26 / $20,400.00	Facility		$2,026.89	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.03 / $1,202.02 / $4,852.66	Professional		$932.03	$1,202.02	$4,852.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,279.08 / $1,990.84 / $2,713.14	Professional		$1,279.08	$1,990.84	$2,713.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,481.25 / $2,111.02 / $2,376.80	Professional		$1,481.25	$2,111.02	$2,376.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.02 / $1,874.55 / $2,584.34	Facility		$1,202.02	$1,874.55	$2,584.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.40 / $1,651.06 / $2,947.38	Professional		$1,403.40	$1,651.06	$2,947.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,290.66 / $1,742.30 / $1,848.53	Facility		$1,290.66	$1,742.30	$1,848.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.02 / $2,029.00 / $2,481.53	Facility		$1,202.02	$2,029.00	$2,481.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,629.96 / $2,124.73 / $2,710.56	Professional		$1,629.96	$2,124.73	$2,710.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,723.80 / $4,723.80 / $4,723.80	Facility		$4,723.80	$4,723.80	$4,723.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,676.57 / $2,263.76 / $2,894.19	Professional		$1,676.57	$2,263.76	$2,894.19
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 $1,358.14 / $2,127.17 / $3,025.87	Professional		$1,358.14	$2,127.17	$3,025.87