Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,121.75 / $14,614.14 / $23,856.49	Facility		$2,121.75	$14,614.14	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.28 / $1,260.45 / $5,109.58	Professional		$954.28	$1,260.45	$5,109.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.38 / $2,087.62 / $2,837.05	Professional		$1,346.38	$2,087.62	$2,837.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,546.85 / $2,200.03 / $2,477.02	Professional		$1,546.85	$2,200.03	$2,477.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,260.45 / $1,965.67 / $2,709.97	Facility		$1,260.45	$1,965.67	$2,709.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,432.08 / $1,736.15 / $3,078.94	Professional		$1,432.08	$1,736.15	$3,078.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,367.74 / $1,846.45 / $1,932.95	Facility		$1,367.74	$1,846.45	$1,932.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,260.45 / $2,137.21 / $2,709.97	Facility		$1,260.45	$2,137.21	$2,709.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,712.38 / $2,232.27 / $2,837.05	Professional		$1,712.38	$2,232.27	$2,837.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,755.30 / $2,367.14 / $3,026.37	Professional		$1,755.30	$2,367.14	$3,026.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,459.65 / $2,124.19 / $3,036.37	Professional		$1,459.65	$2,124.19	$3,036.37