Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,061.34 / $12,274.80 / $21,735.00	Facility		$2,061.34	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.63 / $1,083.30 / $2,546.78	Professional		$813.63	$1,083.30	$2,546.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.03 / $2,048.48 / $2,731.83	Professional		$1,237.03	$2,048.48	$2,731.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,464.88 / $2,091.71 / $2,355.07	Professional		$1,464.88	$2,091.71	$2,355.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,083.30 / $1,805.32 / $2,558.36	Facility		$1,083.30	$1,805.32	$2,558.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,418.68 / $1,593.90 / $2,939.93	Professional		$1,418.68	$1,593.90	$2,939.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,229.52 / $1,720.69 / $1,861.26	Facility		$1,229.52	$1,720.69	$1,861.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,083.30 / $2,017.68 / $2,406.11	Facility		$1,083.30	$2,017.68	$2,406.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,576.37 / $2,170.73 / $2,776.04	Professional		$1,576.37	$2,170.73	$2,776.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,651.05 / $4,651.05 / $4,651.05	Facility		$4,651.05	$4,651.05	$4,651.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,724.54 / $2,279.35 / $2,914.12	Professional		$1,724.54	$2,279.35	$2,914.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,372.92 / $1,891.43 / $2,955.43	Professional		$1,372.92	$1,891.43	$2,955.43