Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,603.15 / $7,920.26 / $20,400.00	Facility		$2,603.15	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.59 / $1,369.09 / $4,472.54	Professional		$1,177.59	$1,369.09	$4,472.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,552.83 / $2,584.36 / $3,488.05	Professional		$1,552.83	$2,584.36	$3,488.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,869.79 / $2,671.05 / $3,007.33	Professional		$1,869.79	$2,671.05	$3,007.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,369.09 / $2,281.59 / $3,083.17	Facility		$1,369.09	$2,281.59	$3,083.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,767.66 / $2,067.69 / $3,751.57	Professional		$1,767.66	$2,067.69	$3,751.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,594.94 / $2,174.23 / $2,388.55	Facility		$1,594.94	$2,174.23	$2,388.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,369.09 / $2,573.51 / $3,033.38	Facility		$1,369.09	$2,573.51	$3,033.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,999.32 / $2,738.58 / $3,502.22	Professional		$1,999.32	$2,738.58	$3,502.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,224.37 / $15,008.49 / $18,619.91	Facility		$9,224.37	$15,008.49	$18,619.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,174.13 / $2,910.31 / $3,720.80	Professional		$2,174.13	$2,910.31	$3,720.80
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 $1,731.96 / $2,449.89 / $3,725.88	Professional		$1,731.96	$2,449.89	$3,725.88