Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,796.22 / $7,920.26 / $20,400.00	Facility		$1,796.22	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.08 / $1,158.79 / $4,313.33	Professional		$800.08	$1,158.79	$4,313.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.77 / $1,767.36 / $2,404.36	Professional		$1,133.77	$1,767.36	$2,404.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,312.76 / $1,873.14 / $2,108.96	Professional		$1,312.76	$1,873.14	$2,108.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,158.79 / $1,734.93 / $2,491.40	Facility		$1,158.79	$1,734.93	$2,491.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,206.15 / $1,483.20 / $2,611.04	Professional		$1,206.15	$1,483.20	$2,611.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,197.68 / $1,553.73 / $1,656.24	Facility		$1,197.68	$1,553.73	$1,656.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,158.79 / $2,055.08 / $5,626.00	Facility		$1,158.79	$2,055.08	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,444.78 / $1,874.91 / $2,402.19	Professional		$1,444.78	$1,874.91	$2,402.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,485.30 / $2,006.12 / $2,564.81	Professional		$1,485.30	$2,006.12	$2,564.81
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 $1,229.28 / $1,745.82 / $2,569.33	Professional		$1,229.28	$1,745.82	$2,569.33