Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,049.96 / $5,649.00 / $15,341.00	Facility		$2,049.96	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.98 / $1,218.17 / $4,928.21	Professional		$942.98	$1,218.17	$4,928.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.74 / $2,017.59 / $2,741.66	Professional		$1,295.74	$2,017.59	$2,741.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,495.79 / $2,129.89 / $2,398.04	Professional		$1,495.79	$2,129.89	$2,398.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,218.17 / $1,899.74 / $2,619.07	Facility		$1,218.17	$1,899.74	$2,619.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,378.53 / $1,667.25 / $2,977.06	Professional		$1,378.53	$1,667.25	$2,977.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,311.06 / $1,775.71 / $1,867.96	Facility		$1,311.06	$1,775.71	$1,867.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,218.17 / $2,252.62 / $3,274.00	Facility		$1,218.17	$2,252.62	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,651.18 / $2,147.38 / $2,741.66	Professional		$1,651.18	$2,147.38	$2,741.66
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 $1,695.64 / $2,287.55 / $2,924.61	Professional		$1,695.64	$2,287.55	$2,924.61
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 $1,433.65 / $1,995.98 / $2,905.88	Professional		$1,433.65	$1,995.98	$2,905.88