Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,064.36 / $7,920.26 / $20,400.00	Facility		$2,064.36	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.23 / $1,333.26 / $4,971.24	Professional		$950.23	$1,333.26	$4,971.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,309.45 / $2,033.46 / $2,763.30	Professional		$1,309.45	$2,033.46	$2,763.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,507.86 / $2,148.63 / $2,419.15	Professional		$1,507.86	$2,148.63	$2,419.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,333.26 / $1,996.65 / $2,866.51	Facility		$1,333.26	$1,996.65	$2,866.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,393.32 / $1,688.40 / $3,000.41	Professional		$1,393.32	$1,688.40	$3,000.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,323.65 / $1,778.32 / $1,882.70	Facility		$1,323.65	$1,778.32	$1,882.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,333.26 / $2,275.86 / $5,626.00	Facility		$1,333.26	$2,275.86	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,662.87 / $2,168.40 / $2,761.29	Professional		$1,662.87	$2,168.40	$2,761.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,952.22 / $13,806.81	Facility		$6,909.34	$10,952.22	$13,806.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,707.32 / $2,305.61 / $2,947.69	Professional		$1,707.32	$2,305.61	$2,947.69
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 $1,445.31 / $2,063.39 / $2,953.39	Professional		$1,445.31	$2,063.39	$2,953.39