Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,976.94 / $9,972.00 / $20,400.00	Facility		$1,976.94	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.55 / $1,174.70 / $4,754.71	Professional		$909.55	$1,174.70	$4,754.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,251.78 / $1,945.60 / $2,645.29	Professional		$1,251.78	$1,945.60	$2,645.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,443.30 / $2,055.52 / $2,314.31	Professional		$1,443.30	$2,055.52	$2,314.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.70 / $1,831.94 / $2,525.61	Facility		$1,174.70	$1,831.94	$2,525.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,443.84 / $1,623.70 / $2,872.03	Professional		$1,443.84	$1,623.70	$2,872.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,263.08 / $1,700.38 / $1,802.30	Facility		$1,263.08	$1,700.38	$1,802.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.70 / $1,985.86 / $2,422.30	Facility		$1,174.70	$1,985.86	$2,422.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,592.22 / $2,072.98 / $2,644.91	Professional		$1,592.22	$2,072.98	$2,644.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,629.74 / $4,629.74 / $4,629.74	Facility		$4,629.74	$4,629.74	$4,629.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,635.37 / $2,207.15 / $2,821.81	Professional		$1,635.37	$2,207.15	$2,821.81
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 $1,383.30 / $2,162.39 / $2,951.49	Professional		$1,383.30	$2,162.39	$2,951.49