Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,005.25 / $9,972.00 / $20,400.00	Facility		$2,005.25	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.93 / $1,056.25 / $4,746.89	Professional		$868.93	$1,056.25	$4,746.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,205.49 / $1,992.55 / $2,689.54	Professional		$1,205.49	$1,992.55	$2,689.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,442.36 / $2,058.79 / $2,317.98	Professional		$1,442.36	$2,058.79	$2,317.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,056.25 / $1,760.24 / $2,360.28	Facility		$1,056.25	$1,760.24	$2,360.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,385.48 / $1,548.00 / $2,895.39	Professional		$1,385.48	$1,548.00	$2,895.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,240.19 / $1,677.85 / $1,832.45	Facility		$1,240.19	$1,677.85	$1,832.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,056.25 / $1,880.01 / $2,336.61	Facility		$1,056.25	$1,880.01	$2,336.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,542.08 / $2,111.46 / $2,700.23	Professional		$1,542.08	$2,111.46	$2,700.23
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 $1,674.73 / $2,244.07 / $2,869.02	Professional		$1,674.73	$2,244.07	$2,869.02
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 $1,386.01 / $1,880.99 / $2,897.00	Professional		$1,386.01	$1,880.99	$2,897.00