Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,177.08 / $7,920.26 / $20,400.00	Facility		$2,177.08	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,044.93 / $1,406.25 / $5,243.69	Professional		$1,044.93	$1,406.25	$5,243.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,382.04 / $2,144.79 / $2,913.75	Professional		$1,382.04	$2,144.79	$2,913.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,589.02 / $2,263.35 / $2,548.31	Professional		$1,589.02	$2,263.35	$2,548.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,406.25 / $2,109.03 / $3,023.44	Facility		$1,406.25	$2,109.03	$3,023.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,469.31 / $1,808.40 / $3,161.69	Professional		$1,469.31	$1,808.40	$3,161.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,460.28 / $1,895.43 / $2,019.38	Facility		$1,460.28	$1,895.43	$2,019.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,406.25 / $2,503.28 / $5,626.00	Facility		$1,406.25	$2,503.28	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,756.45 / $2,287.25 / $2,913.48	Professional		$1,756.45	$2,287.25	$2,913.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $22,870.85 / $34,486.44	Facility		$11,927.24	$22,870.85	$34,486.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,800.81 / $2,431.14 / $3,108.19	Professional		$1,800.81	$2,431.14	$3,108.19
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 $1,524.82 / $2,126.00 / $3,086.12	Professional		$1,524.82	$2,126.00	$3,086.12