Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.48 / $8,369.76 / $20,400.00	Facility		$1,573.48	$8,369.76	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.04 / $1,015.06 / $2,986.87	Professional		$757.04	$1,015.06	$2,986.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.47 / $1,548.14 / $2,106.40	Professional		$991.47	$1,548.14	$2,106.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,150.06 / $1,641.69 / $1,848.38	Professional		$1,150.06	$1,641.69	$1,848.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,015.06 / $1,520.33 / $2,182.38	Facility		$1,015.06	$1,520.33	$2,182.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.68 / $1,244.40 / $2,287.44	Professional		$1,054.68	$1,244.40	$2,287.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.49 / $1,358.09 / $1,435.14	Facility		$1,000.49	$1,358.09	$1,435.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,015.06 / $1,721.42 / $5,626.00	Facility		$1,015.06	$1,721.42	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,263.45 / $1,638.83 / $2,104.79	Professional		$1,263.45	$1,638.83	$2,104.79
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 $1,301.41 / $1,757.51 / $2,246.96	Professional		$1,301.41	$1,757.51	$2,246.96
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 $1,077.04 / $1,558.01 / $2,251.19	Professional		$1,077.04	$1,558.01	$2,251.19