Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,050.82 / $7,920.26 / $20,400.00	Facility		$2,050.82	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.44 / $1,325.01 / $4,939.21	Professional		$958.44	$1,325.01	$4,939.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.86 / $2,020.88 / $2,745.60	Professional		$1,300.86	$2,020.88	$2,745.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,498.20 / $2,135.01 / $2,403.80	Professional		$1,498.20	$2,135.01	$2,403.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,325.01 / $1,985.05 / $2,848.77	Facility		$1,325.01	$1,985.05	$2,848.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,383.63 / $1,668.55 / $2,981.32	Professional		$1,383.63	$1,668.55	$2,981.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,323.49 / $1,766.54 / $1,870.64	Facility		$1,323.49	$1,766.54	$1,870.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,325.01 / $2,290.75 / $5,626.00	Facility		$1,325.01	$2,290.75	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,653.20 / $2,153.84 / $2,743.38	Professional		$1,653.20	$2,153.84	$2,743.38
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 $1,696.25 / $2,290.84 / $2,928.81	Professional		$1,696.25	$2,290.84	$2,928.81
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 $1,381.59 / $2,002.00 / $2,906.94	Professional		$1,381.59	$2,002.00	$2,906.94