Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,540.96 / $9,972.00 / $20,400.00	Facility		$2,540.96	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.19 / $1,338.24 / $6,034.17	Professional		$1,151.19	$1,338.24	$6,034.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,544.56 / $2,523.26 / $3,406.43	Professional		$1,544.56	$2,523.26	$3,406.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,826.56 / $2,603.34 / $2,931.10	Professional		$1,826.56	$2,603.34	$2,931.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,338.24 / $2,230.17 / $3,200.72	Facility		$1,338.24	$2,230.17	$3,200.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,748.28 / $1,997.94 / $3,668.81	Professional		$1,748.28	$1,997.94	$3,668.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,583.35 / $2,173.60 / $2,320.88	Facility		$1,583.35	$2,173.60	$2,320.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,338.24 / $2,541.37 / $2,963.02	Facility		$1,338.24	$2,541.37	$2,963.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,968.26 / $2,703.62 / $3,419.43	Professional		$1,968.26	$2,703.62	$3,419.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,892.24 / $23,665.33 / $28,288.01	Facility		$18,892.24	$23,665.33	$28,288.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,123.69 / $2,842.21 / $3,633.74	Professional		$2,123.69	$2,842.21	$3,633.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,757.58 / $2,513.01 / $3,673.66	Professional		$1,757.58	$2,513.01	$3,673.66