Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,807.93 / $8,878.56 / $20,400.00	Facility		$1,807.93	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.36 / $1,073.75 / $4,342.46	Professional		$830.36	$1,073.75	$4,342.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,142.25 / $1,778.40 / $2,420.10	Professional		$1,142.25	$1,778.40	$2,420.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,322.59 / $1,887.02 / $2,124.60	Professional		$1,322.59	$1,887.02	$2,124.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,073.75 / $1,674.51 / $2,308.56	Facility		$1,073.75	$1,674.51	$2,308.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,254.26 / $1,476.15 / $2,631.18	Professional		$1,254.26	$1,476.15	$2,631.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,167.65 / $1,565.45 / $1,648.87	Facility		$1,167.65	$1,565.45	$1,648.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,073.75 / $1,796.76 / $2,239.03	Facility		$1,073.75	$1,796.76	$2,239.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,455.16 / $1,904.02 / $2,418.12	Professional		$1,455.16	$1,904.02	$2,418.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,262.43 / $4,262.43 / $4,262.43	Facility		$4,262.43	$4,262.43	$4,262.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,495.14 / $2,019.25 / $2,581.59	Professional		$1,495.14	$2,019.25	$2,581.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,237.59 / $1,769.79 / $2,586.34	Professional		$1,237.59	$1,769.79	$2,586.34