Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,728.28 / $7,920.26 / $20,400.00	Facility		$1,728.28	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.48 / $1,115.36 / $4,150.03	Professional		$797.48	$1,115.36	$4,150.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.45 / $1,701.15 / $2,312.91	Professional		$1,090.45	$1,701.15	$2,312.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,262.72 / $1,801.01 / $2,027.76	Professional		$1,262.72	$1,801.01	$2,027.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,115.36 / $1,671.85 / $2,398.05	Facility		$1,115.36	$1,671.85	$2,398.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.84 / $1,429.35 / $2,512.38	Professional		$1,263.84	$1,429.35	$2,512.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,115.24 / $1,478.99 / $1,575.84	Facility		$1,115.24	$1,478.99	$1,575.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,115.36 / $1,931.20 / $5,626.00	Facility		$1,115.36	$1,931.20	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,389.58 / $1,803.76 / $2,311.67	Professional		$1,389.58	$1,803.76	$2,311.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,378.18 / $13,050.49	Facility		$6,909.34	$10,378.18	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,429.33 / $1,929.82 / $2,467.25	Professional		$1,429.33	$1,929.82	$2,467.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,183.00 / $1,680.09 / $2,472.51	Professional		$1,183.00	$1,680.09	$2,472.51