Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,468.92 / $12,274.80 / $21,735.00	Facility		$2,468.92	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.08 / $1,300.95 / $5,893.08	Professional		$1,122.08	$1,300.95	$5,893.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,516.66 / $2,451.13 / $3,313.00	Professional		$1,516.66	$2,451.13	$3,313.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,776.91 / $2,529.78 / $2,848.28	Professional		$1,776.91	$2,529.78	$2,848.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,300.95 / $2,183.31 / $3,160.00	Facility		$1,300.95	$2,183.31	$3,160.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,731.45 / $1,967.55 / $3,570.15	Professional		$1,731.45	$1,967.55	$3,570.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,566.39 / $2,164.59 / $2,264.40	Facility		$1,566.39	$2,164.59	$2,264.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,300.95 / $2,468.14 / $2,879.78	Facility		$1,300.95	$2,468.14	$2,879.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,932.71 / $2,643.77 / $3,321.68	Professional		$1,932.71	$2,643.77	$3,321.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $31,052.21 / $38,534.69	Facility		$23,713.19	$31,052.21	$38,534.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,064.04 / $2,764.26 / $3,534.08	Professional		$2,064.04	$2,764.26	$3,534.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,708.19 / $2,479.19 / $3,570.43	Professional		$1,708.19	$2,479.19	$3,570.43