Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,971.72 / $8,878.56 / $20,400.00	Facility		$1,971.72	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.76 / $1,270.89 / $4,733.84	Professional		$917.76	$1,270.89	$4,733.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.99 / $1,938.33 / $2,639.39	Professional		$1,244.99	$1,938.33	$2,639.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,441.45 / $2,055.36 / $2,314.13	Professional		$1,441.45	$2,055.36	$2,314.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,270.89 / $1,906.75 / $2,732.41	Facility		$1,270.89	$1,906.75	$2,732.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,324.98 / $1,597.05 / $2,867.80	Professional		$1,324.98	$1,597.05	$2,867.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,257.76 / $1,689.25 / $1,798.28	Facility		$1,257.76	$1,689.25	$1,798.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,270.89 / $1,981.95 / $2,408.41	Facility		$1,270.89	$1,981.95	$2,408.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,586.51 / $2,060.87 / $2,637.94	Professional		$1,586.51	$2,060.87	$2,637.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32,811.37 / $47,264.70 / $69,823.03	Facility		$32,811.37	$47,264.70	$69,823.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,631.06 / $2,202.21 / $2,815.52	Professional		$1,631.06	$2,202.21	$2,815.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,349.93 / $1,915.57 / $2,821.46	Professional		$1,349.93	$1,915.57	$2,821.46