Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,656.78 / $11,652.00 / $23,856.49	Facility		$1,656.78	$11,652.00	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.53 / $1,158.44 / $3,039.00	Professional		$723.53	$1,158.44	$3,039.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,051.01 / $1,631.67 / $2,216.54	Professional		$1,051.01	$1,631.67	$2,216.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,210.09 / $1,723.65 / $1,940.65	Professional		$1,210.09	$1,723.65	$1,940.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,069.82 / $1,603.70 / $2,300.11	Facility		$1,069.82	$1,603.70	$2,300.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.01 / $1,357.80 / $2,408.41	Professional		$1,199.01	$1,357.80	$2,408.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,118.71 / $1,467.30 / $1,547.03	Facility		$1,118.71	$1,467.30	$1,547.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,069.82 / $1,776.24 / $2,300.11	Facility		$1,069.82	$1,776.24	$2,300.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,335.61 / $1,765.18 / $2,216.19	Professional		$1,335.61	$1,765.18	$2,216.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,370.29 / $1,849.41 / $2,364.44	Professional		$1,370.29	$1,849.41	$2,364.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.80 / $1,656.04 / $2,370.38	Professional		$1,138.80	$1,656.04	$2,370.38