Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,271.91 / $12,274.80 / $21,735.00	Facility		$2,271.91	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.55 / $1,353.75 / $5,481.44	Professional		$1,045.55	$1,353.75	$5,481.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,439.68 / $2,242.15 / $3,038.64	Professional		$1,439.68	$2,242.15	$3,038.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,658.09 / $2,361.26 / $2,658.55	Professional		$1,658.09	$2,361.26	$2,658.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,353.75 / $2,111.17 / $2,910.56	Facility		$1,353.75	$2,111.17	$2,910.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,587.32 / $1,865.50 / $3,299.61	Professional		$1,587.32	$1,865.50	$3,299.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,463.67 / $1,962.38 / $2,070.30	Facility		$1,463.67	$1,962.38	$2,070.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,353.75 / $2,290.26 / $2,802.72	Facility		$1,353.75	$2,290.26	$2,802.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,830.12 / $2,393.16 / $3,038.64	Professional		$1,830.12	$2,393.16	$3,038.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,311.16 / $5,311.16 / $5,311.16	Facility		$5,311.16	$5,311.16	$5,311.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,879.53 / $2,535.35 / $3,241.41	Professional		$1,879.53	$2,535.35	$3,241.41
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 $1,566.24 / $2,224.42 / $3,251.27	Professional		$1,566.24	$2,224.42	$3,251.27