Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,550.64 / $7,950.89 / $13,320.00	Facility		$1,550.64	$7,950.89	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.20 / $1,088.75 / $3,259.00	Professional		$742.20	$1,088.75	$3,259.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,059.63 / $1,675.72 / $2,292.26	Professional		$1,059.63	$1,675.72	$2,292.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,263.05 / $1,805.88 / $2,034.28	Professional		$1,263.05	$1,805.88	$2,034.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,098.70 / $1,645.03 / $2,362.21	Facility		$1,098.70	$1,645.03	$2,362.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,144.58 / $1,376.40 / $2,502.80	Professional		$1,144.58	$1,376.40	$2,502.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,067.34 / $1,475.86 / $1,561.77	Facility		$1,067.34	$1,475.86	$1,561.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,098.70 / $1,838.45 / $10,199.00	Facility		$1,098.70	$1,838.45	$10,199.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,350.30 / $1,780.67 / $2,289.80	Professional		$1,350.30	$1,780.67	$2,289.80
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 $1,415.79 / $1,912.59 / $2,445.21	Professional		$1,415.79	$1,912.59	$2,445.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $22,956.00	Facility		$2,912.00	$16,268.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,176.59 / $1,797.19 / $2,449.08	Professional		$1,176.59	$1,797.19	$2,449.08