Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,713.90 / $8,684.57 / $24,984.41	Facility		$1,713.90	$8,684.57	$24,984.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.41 / $1,106.21 / $3,740.00	Professional		$748.41	$1,106.21	$3,740.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,081.22 / $1,687.17 / $2,293.23	Professional		$1,081.22	$1,687.17	$2,293.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,252.01 / $1,785.29 / $2,010.05	Professional		$1,252.01	$1,785.29	$2,010.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,106.21 / $1,657.35 / $2,378.35	Facility		$1,106.21	$1,657.35	$2,378.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,150.56 / $1,385.80 / $2,491.16	Professional		$1,150.56	$1,385.80	$2,491.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,081.40 / $1,483.38 / $1,562.44	Facility		$1,081.40	$1,483.38	$1,562.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,106.21 / $1,856.71 / $5,626.00	Facility		$1,106.21	$1,856.71	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,377.81 / $1,790.02 / $2,291.79	Professional		$1,377.81	$1,790.02	$2,291.79
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 $1,417.65 / $1,913.41 / $2,446.27	Professional		$1,417.65	$1,913.41	$2,446.27
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 $1,173.24 / $1,667.53 / $2,429.46	Professional		$1,173.24	$1,667.53	$2,429.46