Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,519.98 / $5,649.00 / $15,341.00	Facility		$2,519.98	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.41 / $1,497.48 / $6,067.68	Professional		$1,159.41	$1,497.48	$6,067.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,597.22 / $2,480.19 / $3,371.02	Professional		$1,597.22	$2,480.19	$3,371.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,838.41 / $2,616.14 / $2,945.51	Professional		$1,838.41	$2,616.14	$2,945.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,497.48 / $2,335.32 / $3,219.58	Facility		$1,497.48	$2,335.32	$3,219.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,697.79 / $2,057.25 / $3,659.27	Professional		$1,697.79	$2,057.25	$3,659.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,615.32 / $2,173.29 / $2,296.76	Facility		$1,615.32	$2,173.29	$2,296.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,497.48 / $2,765.34 / $3,949.62	Facility		$1,497.48	$2,765.34	$3,949.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,031.18 / $2,645.41 / $3,371.02	Professional		$2,031.18	$2,645.41	$3,371.02
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 $2,084.34 / $2,812.67 / $3,595.97	Professional		$2,084.34	$2,812.67	$3,595.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,725.00 / $2,458.91 / $3,605.56	Professional		$1,725.00	$2,458.91	$3,605.56