Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.86 / $7,920.26 / $30,454.92	Facility		$1,640.86	$7,920.26	$30,454.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.79 / $1,154.29 / $3,069.73	Professional		$772.79	$1,154.29	$3,069.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,616.93 / $2,196.87	Professional		$1,040.00	$1,616.93	$2,196.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,199.13 / $1,710.80 / $1,926.19	Professional		$1,199.13	$1,710.80	$1,926.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,060.16 / $1,587.75 / $2,279.34	Facility		$1,060.16	$1,587.75	$2,279.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.17 / $1,341.06 / $2,385.05	Professional		$1,105.17	$1,341.06	$2,385.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.00 / $1,423.08 / $1,496.78	Facility		$1,047.00	$1,423.08	$1,496.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,060.16 / $1,801.93 / $5,626.00	Facility		$1,060.16	$1,801.93	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,322.32 / $1,717.25 / $2,194.31	Professional		$1,322.32	$1,717.25	$2,194.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,952.22 / $13,050.49	Facility		$6,909.34	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,356.75 / $1,833.00 / $2,343.46	Professional		$1,356.75	$1,833.00	$2,343.46
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 $1,146.40 / $1,765.01 / $2,325.12	Professional		$1,146.40	$1,765.01	$2,325.12