Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,745.06 / $9,972.00 / $20,400.00	Facility		$2,745.06	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.81 / $1,446.36 / $3,915.39	Professional		$1,097.81	$1,446.36	$3,915.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,675.95 / $2,726.42 / $3,678.82	Professional		$1,675.95	$2,726.42	$3,678.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,972.33 / $2,809.72 / $3,163.47	Professional		$1,972.33	$2,809.72	$3,163.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,446.36 / $2,410.36 / $3,466.37	Facility		$1,446.36	$2,410.36	$3,466.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,901.79 / $2,167.10 / $3,961.65	Professional		$1,901.79	$2,167.10	$3,961.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,707.86 / $2,355.71 / $2,506.46	Facility		$1,707.86	$2,355.71	$2,506.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,446.36 / $2,745.91 / $3,201.57	Facility		$1,446.36	$2,745.91	$3,201.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,135.69 / $2,927.58 / $3,694.74	Professional		$2,135.69	$2,927.58	$3,694.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,039.76 / $15,838.63 / $18,619.91	Facility		$12,039.76	$15,838.63	$18,619.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,294.67 / $3,069.49 / $3,924.31	Professional		$2,294.67	$3,069.49	$3,924.31
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 $1,848.75 / $2,685.84 / $3,932.47	Professional		$1,848.75	$2,685.84	$3,932.47