Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.33 / $8,878.56 / $20,400.00	Facility		$1,757.33	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.32 / $1,133.88 / $4,220.60	Professional		$780.32	$1,133.88	$4,220.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.33 / $1,729.37 / $2,351.26	Professional		$1,109.33	$1,729.37	$2,351.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,284.90 / $1,833.36 / $2,064.17	Professional		$1,284.90	$1,833.36	$2,064.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,133.88 / $1,672.67 / $2,437.84	Facility		$1,133.88	$1,672.67	$2,437.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,168.84 / $1,402.44 / $2,555.87	Professional		$1,168.84	$1,402.44	$2,555.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,112.28 / $1,501.56 / $1,620.06	Facility		$1,112.28	$1,501.56	$1,620.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,133.88 / $2,010.26 / $6,246.00	Facility		$1,133.88	$2,010.26	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,413.64 / $1,845.20 / $2,350.48	Professional		$1,413.64	$1,845.20	$2,350.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,453.32 / $1,961.82 / $2,508.16	Professional		$1,453.32	$1,961.82	$2,508.16
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 $1,225.89 / $1,679.61 / $2,513.98	Professional		$1,225.89	$1,679.61	$2,513.98