Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,953.29 / $9,972.00 / $20,400.00	Facility		$1,953.29	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.43 / $1,160.38 / $4,695.24	Professional		$898.43	$1,160.38	$4,695.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,236.14 / $1,921.88 / $2,614.81	Professional		$1,236.14	$1,921.88	$2,614.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,426.16 / $2,031.28 / $2,287.02	Professional		$1,426.16	$2,031.28	$2,287.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,160.38 / $1,809.61 / $2,494.82	Facility		$1,160.38	$1,809.61	$2,494.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,358.08 / $1,588.60 / $2,838.09	Professional		$1,358.08	$1,588.60	$2,838.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,255.38 / $1,678.77 / $1,781.53	Facility		$1,255.38	$1,678.77	$1,781.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,160.38 / $1,946.04 / $2,392.67	Facility		$1,160.38	$1,946.04	$2,392.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,574.11 / $2,047.12 / $2,613.08	Professional		$1,574.11	$2,047.12	$2,613.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,546.37 / $4,546.37 / $4,546.37	Facility		$4,546.37	$4,546.37	$4,546.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,615.68 / $2,181.71 / $2,789.29	Professional		$1,615.68	$2,181.71	$2,789.29
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 $1,340.04 / $1,903.12 / $2,794.87	Professional		$1,340.04	$1,903.12	$2,794.87