Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,843.06 / $7,920.26 / $20,400.00	Facility		$1,843.06	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.69 / $1,095.80 / $4,430.46	Professional		$846.69	$1,095.80	$4,430.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.82 / $1,814.92 / $2,465.33	Professional		$1,164.82	$1,814.92	$2,465.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,345.22 / $1,917.02 / $2,158.38	Professional		$1,345.22	$1,917.02	$2,158.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,095.80 / $1,708.90 / $2,355.96	Facility		$1,095.80	$1,708.90	$2,355.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,238.79 / $1,498.20 / $2,675.76	Professional		$1,238.79	$1,498.20	$2,675.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,177.33 / $1,579.86 / $1,679.69	Facility		$1,177.33	$1,579.86	$1,679.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,095.80 / $2,023.54 / $5,626.00	Facility		$1,095.80	$2,023.54	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,484.35 / $1,928.27 / $2,464.87	Professional		$1,484.35	$1,928.27	$2,464.87
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 $1,524.05 / $2,056.98 / $2,629.84	Professional		$1,524.05	$2,056.98	$2,629.84
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 $1,287.91 / $1,794.56 / $2,611.80	Professional		$1,287.91	$1,794.56	$2,611.80