Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $7,943.28	Facility		$1,862.09	$2,344.23	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,344.23	Professional		$933.25	$1,148.15	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $2,818.38	Professional		$1,023.29	$1,995.26	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,344.23	Professional		$1,348.96	$1,778.28	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $3,235.94	Facility		$1,122.02	$1,584.89	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,454.71	Professional		$1,380.38	$1,659.59	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $1,862.09	Facility		$1,513.56	$1,819.70	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $2,290.87	Facility		$1,000.00	$1,380.38	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,778.28 / $2,511.89	Professional		$79.43	$1,778.28	$2,511.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $19,498.45	Facility		$12,022.64	$16,218.10	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,511.89	Professional		$1,698.24	$1,995.26	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,570.40	Professional		$1,202.26	$1,819.70	$2,570.40