Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,040.64 / $7,920.26 / $20,400.00	Facility		$2,040.64	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.31 / $1,316.90 / $4,897.03	Professional		$1,001.31	$1,316.90	$4,897.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,285.46 / $2,097.63 / $2,732.81	Professional		$1,285.46	$2,097.63	$2,732.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,490.94 / $2,126.73 / $2,394.48	Professional		$1,490.94	$2,126.73	$2,394.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,316.90 / $1,974.90 / $2,831.34	Facility		$1,316.90	$1,974.90	$2,831.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,470.84 / $1,721.60 / $2,965.38	Professional		$1,470.84	$1,721.60	$2,965.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,349.55 / $1,798.28 / $1,948.24	Facility		$1,349.55	$1,798.28	$1,948.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,316.90 / $2,338.11 / $5,626.00	Facility		$1,316.90	$2,338.11	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,638.08 / $2,173.75 / $2,728.46	Professional		$1,638.08	$2,173.75	$2,728.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $8,066.74	Facility		$4,993.29	$6,338.31	$8,066.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,687.65 / $2,280.17 / $2,915.17	Professional		$1,687.65	$2,280.17	$2,915.17
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 $1,422.52 / $2,108.71 / $2,919.32	Professional		$1,422.52	$2,108.71	$2,919.32