Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,051.42 / $9,972.00 / $20,400.00	Facility		$2,051.42	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.84 / $1,218.70 / $4,935.28	Professional		$943.84	$1,218.70	$4,935.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,298.90 / $2,018.47 / $2,744.61	Professional		$1,298.90	$2,018.47	$2,744.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,497.66 / $2,131.89 / $2,400.30	Professional		$1,497.66	$2,131.89	$2,400.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,218.70 / $1,900.56 / $2,620.21	Facility		$1,218.70	$1,900.56	$2,620.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,499.75 / $1,700.16 / $2,981.32	Professional		$1,499.75	$1,700.16	$2,981.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.81 / $1,763.45 / $1,869.97	Facility		$1,318.81	$1,763.45	$1,869.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,218.70 / $2,055.09 / $2,514.86	Facility		$1,218.70	$2,055.09	$2,514.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,653.20 / $2,153.04 / $2,744.38	Professional		$1,653.20	$2,153.04	$2,744.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,814.30 / $4,814.30 / $4,814.30	Facility		$4,814.30	$4,814.30	$4,814.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,696.87 / $2,290.02 / $2,927.76	Professional		$1,696.87	$2,290.02	$2,927.76
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 $1,436.31 / $2,001.34 / $2,935.30	Professional		$1,436.31	$2,001.34	$2,935.30