Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,660.15 / $12,274.80 / $21,735.00	Facility		$2,660.15	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,224.18 / $1,580.81 / $6,399.35	Professional		$1,224.18	$1,580.81	$6,399.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,683.02 / $2,618.21 / $3,557.87	Professional		$1,683.02	$2,618.21	$3,557.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,940.17 / $2,762.06 / $3,109.80	Professional		$1,940.17	$2,762.06	$3,109.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,580.81 / $2,465.27 / $3,398.74	Facility		$1,580.81	$2,465.27	$3,398.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,795.20 / $2,229.48 / $3,860.86	Professional		$1,795.20	$2,229.48	$3,860.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,693.33 / $2,301.67 / $2,424.06	Facility		$1,693.33	$2,301.67	$2,424.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,580.81 / $2,683.67 / $3,398.74	Facility		$1,580.81	$2,683.67	$3,398.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,144.69 / $2,790.13 / $3,557.87	Professional		$2,144.69	$2,790.13	$3,557.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,207.29 / $6,207.29 / $6,207.29	Facility		$6,207.29	$6,207.29	$6,207.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,200.58 / $2,968.57 / $3,795.28	Professional		$2,200.58	$2,968.57	$3,795.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,827.28 / $2,593.42 / $3,806.62	Professional		$1,827.28	$2,593.42	$3,806.62