Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,773.73 / $12,274.80 / $21,735.00	Facility		$1,773.73	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.33 / $1,050.07 / $4,168.16	Professional		$812.33	$1,050.07	$4,168.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,057.76 / $1,747.44 / $2,368.96	Professional		$1,057.76	$1,747.44	$2,368.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,289.06 / $1,843.95 / $2,076.10	Professional		$1,289.06	$1,843.95	$2,076.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,050.07 / $1,637.58 / $2,257.65	Facility		$1,050.07	$1,637.58	$2,257.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.08 / $1,404.65 / $2,562.23	Professional		$1,202.08	$1,404.65	$2,562.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,094.00 / $1,504.10 / $1,614.03	Facility		$1,094.00	$1,504.10	$1,614.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,050.07 / $1,749.94 / $2,145.54	Facility		$1,050.07	$1,749.94	$2,145.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,374.03 / $1,857.56 / $2,368.96	Professional		$1,374.03	$1,857.56	$2,368.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,971.40 / $3,971.40 / $3,971.40	Facility		$3,971.40	$3,971.40	$3,971.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,466.23 / $1,976.58 / $2,527.04	Professional		$1,466.23	$1,976.58	$2,527.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,208.93 / $1,687.96 / $2,536.33	Professional		$1,208.93	$1,687.96	$2,536.33