Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.19 / $7,920.26 / $20,400.00	Facility		$2,068.19	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.75 / $1,335.76 / $4,065.85	Professional		$1,000.75	$1,335.76	$4,065.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,312.24 / $2,037.27 / $2,769.20	Professional		$1,312.24	$2,037.27	$2,769.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,510.97 / $2,152.98 / $2,424.05	Professional		$1,510.97	$2,152.98	$2,424.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,335.76 / $2,002.45 / $2,871.88	Facility		$1,335.76	$2,002.45	$2,871.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,396.38 / $1,692.81 / $3,006.78	Professional		$1,396.38	$1,692.81	$3,006.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,327.05 / $1,831.11 / $1,894.09	Facility		$1,327.05	$1,831.11	$1,894.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,335.76 / $2,281.67 / $5,626.00	Facility		$1,335.76	$2,281.67	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,667.70 / $2,202.40 / $2,767.26	Professional		$1,667.70	$2,202.40	$2,767.26
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 $1,710.40 / $2,310.53 / $2,953.98	Professional		$1,710.40	$2,310.53	$2,953.98
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 $1,415.52 / $2,067.19 / $2,958.69	Professional		$1,415.52	$2,067.19	$2,958.69