Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,211.19 / $7,920.26 / $20,400.00	Facility		$2,211.19	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.54 / $1,428.92 / $5,326.91	Professional		$1,084.54	$1,428.92	$5,326.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,404.56 / $2,179.36 / $2,959.97	Professional		$1,404.56	$2,179.36	$2,959.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,615.39 / $2,301.15 / $2,590.86	Professional		$1,615.39	$2,301.15	$2,590.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,428.92 / $2,228.40 / $3,072.18	Facility		$1,428.92	$2,228.40	$3,072.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,470.15 / $1,833.65 / $3,214.73	Professional		$1,470.15	$1,833.65	$3,214.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,394.20 / $1,923.74 / $2,016.70	Facility		$1,394.20	$1,923.74	$2,016.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,428.92 / $2,470.94 / $5,626.00	Facility		$1,428.92	$2,470.94	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,783.02 / $2,318.26 / $2,957.24	Professional		$1,783.02	$2,318.26	$2,957.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,525.75 / $15,225.66 / $19,370.28	Facility		$11,525.75	$15,225.66	$19,370.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,828.48 / $2,469.71 / $3,157.49	Professional		$1,828.48	$2,469.71	$3,157.49
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 $1,607.10 / $2,125.25 / $3,300.04	Professional		$1,607.10	$2,125.25	$3,300.04