Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,914.65 / $5,649.00 / $15,341.00	Facility		$1,914.65	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.20 / $1,137.40 / $4,598.47	Professional		$880.20	$1,137.40	$4,598.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,209.59 / $1,883.82 / $2,561.69	Professional		$1,209.59	$1,883.82	$2,561.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,398.66 / $1,994.04 / $2,245.09	Professional		$1,398.66	$1,994.04	$2,245.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,137.40 / $1,773.78 / $2,445.41	Facility		$1,137.40	$1,773.78	$2,445.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,329.09 / $1,522.80 / $2,782.92	Professional		$1,329.09	$1,522.80	$2,782.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,229.66 / $1,653.22 / $1,745.35	Facility		$1,229.66	$1,653.22	$1,745.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,137.40 / $2,113.17 / $3,274.00	Facility		$1,137.40	$2,113.17	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,540.90 / $2,001.85 / $2,561.35	Professional		$1,540.90	$2,001.85	$2,561.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,583.70 / $2,137.40 / $2,732.65	Professional		$1,583.70	$2,137.40	$2,732.65
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 $1,336.66 / $2,008.45 / $2,739.55	Professional		$1,336.66	$2,008.45	$2,739.55