Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,319.05 / $8,878.56 / $20,400.00	Facility		$2,319.05	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.07 / $1,496.22 / $5,568.44	Professional		$1,097.07	$1,496.22	$5,568.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,462.20 / $2,282.00 / $3,100.60	Professional		$1,462.20	$2,282.00	$3,100.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,692.38 / $2,411.58 / $2,715.20	Professional		$1,692.38	$2,411.58	$2,715.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,496.22 / $2,228.23 / $3,216.87	Facility		$1,496.22	$2,228.23	$3,216.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,540.02 / $1,894.10 / $3,367.51	Professional		$1,540.02	$1,894.10	$3,367.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,477.73 / $2,029.84 / $2,112.51	Facility		$1,477.73	$2,029.84	$2,112.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,496.22 / $2,539.80 / $6,246.00	Facility		$1,496.22	$2,539.80	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,863.30 / $2,468.80 / $3,100.60	Professional		$1,863.30	$2,468.80	$3,100.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,918.28 / $2,587.04 / $3,307.50	Professional		$1,918.28	$2,587.04	$3,307.50
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 $1,619.16 / $2,324.09 / $3,287.42	Professional		$1,619.16	$2,324.09	$3,287.42