Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,599.04 / $12,274.80 / $21,735.00	Facility		$2,599.04	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,204.99 / $1,678.92 / $6,258.32	Professional		$1,204.99	$1,678.92	$6,258.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,646.72 / $2,560.65 / $3,478.21	Professional		$1,646.72	$2,560.65	$3,478.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,897.27 / $2,701.83 / $3,041.99	Professional		$1,897.27	$2,701.83	$3,041.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,678.92 / $2,516.48 / $3,609.68	Facility		$1,678.92	$2,516.48	$3,609.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,828.35 / $2,117.05 / $3,775.97	Professional		$1,828.35	$2,117.05	$3,775.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,664.74 / $2,260.58 / $2,369.79	Facility		$1,664.74	$2,260.58	$2,369.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,678.92 / $2,787.21 / $3,609.68	Facility		$1,678.92	$2,787.21	$3,609.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,095.79 / $2,727.88 / $3,475.48	Professional		$2,095.79	$2,727.88	$3,475.48
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 $2,149.53 / $2,902.11 / $3,710.31	Professional		$2,149.53	$2,902.11	$3,710.31
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 $1,786.21 / $2,535.56 / $3,718.33	Professional		$1,786.21	$2,535.56	$3,718.33