Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,565.52 / $8,878.56 / $20,400.00	Facility		$1,565.52	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.80 / $1,010.36 / $3,021.33	Professional		$772.80	$1,010.36	$3,021.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.22 / $1,540.97 / $2,098.53	Professional		$987.22	$1,540.97	$2,098.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,145.57 / $1,636.78 / $1,842.85	Professional		$1,145.57	$1,636.78	$1,842.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,010.36 / $1,511.63 / $2,172.27	Facility		$1,010.36	$1,511.63	$2,172.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,145.89 / $1,257.75 / $2,277.89	Professional		$1,145.89	$1,257.75	$2,277.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,016.48 / $1,351.39 / $1,429.78	Facility		$1,016.48	$1,351.39	$1,429.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,010.36 / $1,674.26 / $2,172.27	Facility		$1,010.36	$1,674.26	$2,172.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.03 / $1,630.74 / $2,093.84	Professional		$1,258.03	$1,630.74	$2,093.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,103.13 / $13,092.93	Facility		$8,763.99	$12,103.13	$13,092.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,294.64 / $1,750.95 / $2,238.57	Professional		$1,294.64	$1,750.95	$2,238.57
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 $1,089.15 / $1,515.79 / $2,218.67	Professional		$1,089.15	$1,515.79	$2,218.67