Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,917.99 / $4,704.00 / $8,728.00	Facility		$1,917.99	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.83 / $1,237.36 / $4,607.75	Professional		$892.83	$1,237.36	$4,607.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,211.46 / $1,887.21 / $2,563.67	Professional		$1,211.46	$1,887.21	$2,563.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,399.16 / $1,993.35 / $2,244.31	Professional		$1,399.16	$1,993.35	$2,244.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,237.36 / $1,853.83 / $2,660.35	Facility		$1,237.36	$1,853.83	$2,660.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,289.79 / $1,553.50 / $2,783.97	Professional		$1,289.79	$1,553.50	$2,783.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,225.30 / $1,648.64 / $1,746.69	Facility		$1,225.30	$1,648.64	$1,746.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,237.36 / $2,053.27 / $2,660.35	Facility		$1,237.36	$2,053.27	$2,660.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,543.78 / $2,005.08 / $2,563.67	Professional		$1,543.78	$2,005.08	$2,563.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,525.75 / $15,225.66 / $19,370.28	Facility		$11,525.75	$15,225.66	$19,370.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,586.78 / $2,139.04 / $2,734.74	Professional		$1,586.78	$2,139.04	$2,734.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $19,093.02	Facility		$1,981.00	$9,529.00	$19,093.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,289.29 / $1,863.73 / $2,744.86	Professional		$1,289.29	$1,863.73	$2,744.86