Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,686.89 / $9,972.00 / $20,400.00	Facility		$2,686.89	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.34 / $1,415.25 / $6,388.59	Professional		$1,217.34	$1,415.25	$6,388.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,631.97 / $2,669.00 / $3,600.15	Professional		$1,631.97	$2,669.00	$3,600.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,930.60 / $2,750.62 / $3,096.93	Professional		$1,930.60	$2,750.62	$3,096.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,415.25 / $2,358.51 / $3,395.10	Facility		$1,415.25	$2,358.51	$3,395.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,859.97 / $2,137.08 / $3,877.81	Professional		$1,859.97	$2,137.08	$3,877.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,671.04 / $2,302.30 / $2,452.87	Facility		$1,671.04	$2,302.30	$2,452.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,415.25 / $2,688.02 / $3,133.78	Facility		$1,415.25	$2,688.02	$3,133.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,079.65 / $2,863.71 / $3,616.94	Professional		$2,079.65	$2,863.71	$3,616.94
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 $2,246.09 / $3,003.85 / $3,840.39	Professional		$2,246.09	$3,003.85	$3,840.39
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 $1,842.89 / $2,661.81 / $3,885.36	Professional		$1,842.89	$2,661.81	$3,885.36