Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,754.11 / $7,920.26 / $20,400.00	Facility		$1,754.11	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.57 / $1,131.84 / $4,212.97	Professional		$822.57	$1,131.84	$4,212.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.38 / $1,726.28 / $2,348.31	Professional		$1,107.38	$1,726.28	$2,348.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,282.70 / $1,830.21 / $2,060.63	Professional		$1,282.70	$1,830.21	$2,060.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,131.84 / $1,695.78 / $2,444.51	Facility		$1,131.84	$1,695.78	$2,444.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.58 / $1,470.48 / $2,551.61	Professional		$1,283.58	$1,470.48	$2,551.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,118.71 / $1,501.92 / $1,599.96	Facility		$1,118.71	$1,501.92	$1,599.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,131.84 / $1,924.77 / $5,626.00	Facility		$1,131.84	$1,924.77	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,411.15 / $1,864.80 / $2,345.50	Professional		$1,411.15	$1,864.80	$2,345.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,774.58 / $8,610.70	Facility		$4,993.29	$6,774.58	$8,610.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,450.24 / $1,959.35 / $2,505.01	Professional		$1,450.24	$1,959.35	$2,505.01
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 $1,200.68 / $1,702.16 / $2,508.67	Professional		$1,200.68	$1,702.16	$2,508.67