Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,010.49 / $9,972.00 / $20,400.00	Facility		$2,010.49	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.68 / $1,059.21 / $4,760.43	Professional		$903.68	$1,059.21	$4,760.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.98 / $1,997.70 / $2,696.43	Professional		$1,208.98	$1,997.70	$2,696.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,446.70 / $2,065.39 / $2,325.42	Professional		$1,446.70	$2,065.39	$2,325.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,059.21 / $1,765.17 / $2,509.30	Facility		$1,059.21	$1,765.17	$2,509.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,406.58 / $1,592.10 / $2,903.85	Professional		$1,406.58	$1,592.10	$2,903.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,315.16 / $1,697.76 / $1,839.15	Facility		$1,315.16	$1,697.76	$1,839.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,059.21 / $1,967.65 / $2,342.61	Facility		$1,059.21	$1,967.65	$2,342.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,546.79 / $2,135.09 / $2,707.22	Professional		$1,546.79	$2,135.09	$2,707.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,401.14 / $8,924.50 / $21,189.66	Facility		$4,401.14	$8,924.50	$21,189.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,679.03 / $2,249.81 / $2,876.36	Professional		$1,679.03	$2,249.81	$2,876.36
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 $1,397.08 / $1,993.74 / $2,877.42	Professional		$1,397.08	$1,993.74	$2,877.42