Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,752.09 / $5,649.00 / $15,341.00	Facility		$1,752.09	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.51 / $1,130.34 / $4,213.13	Professional		$818.51	$1,130.34	$4,213.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.61 / $1,723.98 / $2,345.36	Professional		$1,108.61	$1,723.98	$2,345.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,280.33 / $1,824.69 / $2,054.42	Professional		$1,280.33	$1,824.69	$2,054.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,130.34 / $1,693.60 / $2,430.25	Facility		$1,130.34	$1,693.60	$2,430.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.11 / $1,432.82 / $2,547.38	Professional		$1,179.11	$1,432.82	$2,547.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,129.36 / $1,520.90 / $1,597.95	Facility		$1,129.36	$1,520.90	$1,597.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,130.34 / $1,941.37 / $3,274.00	Facility		$1,130.34	$1,941.37	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,410.48 / $1,835.29 / $2,343.51	Professional		$1,410.48	$1,835.29	$2,343.51
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 $1,449.01 / $1,956.89 / $2,501.87	Professional		$1,449.01	$1,956.89	$2,501.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,201.72 / $1,706.68 / $2,506.54	Professional		$1,201.72	$1,706.68	$2,506.54