Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,828.94 / $7,920.26 / $20,400.00	Facility		$2,828.94	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,575.58 / $1,995.36 / $7,446.25	Professional		$1,575.58	$1,995.36	$7,446.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,958.72 / $3,043.29 / $4,131.18	Professional		$1,958.72	$3,043.29	$4,131.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,251.55 / $3,202.57 / $3,605.77	Professional		$2,251.55	$3,202.57	$3,605.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.36 / $3,111.76 / $4,290.02	Facility		$1,995.36	$3,111.76	$4,290.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,085.39 / $2,536.42 / $4,481.53	Professional		$2,085.39	$2,536.42	$4,481.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,983.54 / $2,738.56 / $2,814.67	Facility		$1,983.54	$2,738.56	$2,814.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.36 / $3,410.91 / $5,626.00	Facility		$1,995.36	$3,410.91	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,493.09 / $3,250.98 / $4,131.18	Professional		$2,493.09	$3,250.98	$4,131.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,833.80 / $21,874.76	Facility		$11,927.24	$16,833.80	$21,874.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,556.06 / $3,446.92 / $4,406.85	Professional		$2,556.06	$3,446.92	$4,406.85
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 $2,086.42 / $2,928.25 / $4,421.56	Professional		$2,086.42	$2,928.25	$4,421.56