Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,907.63 / $9,972.00 / $20,400.00	Facility		$1,907.63	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.25 / $1,003.74 / $4,508.89	Professional		$845.25	$1,003.74	$4,508.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,143.67 / $1,892.45 / $2,554.82	Professional		$1,143.67	$1,892.45	$2,554.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,370.07 / $1,956.36 / $2,202.67	Professional		$1,370.07	$1,956.36	$2,202.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.74 / $1,672.73 / $2,372.31	Facility		$1,003.74	$1,672.73	$2,372.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,301.01 / $1,489.20 / $2,748.97	Professional		$1,301.01	$1,489.20	$2,748.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.53 / $1,630.85 / $1,740.66	Facility		$1,202.53	$1,630.85	$1,740.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,003.74 / $1,894.12 / $2,223.34	Facility		$1,003.74	$1,894.12	$2,223.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,464.75 / $2,022.35 / $2,564.57	Professional		$1,464.75	$2,022.35	$2,564.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,593.54 / $2,131.66 / $2,725.30	Professional		$1,593.54	$2,131.66	$2,725.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.42 / $1,756.29 / $2,730.92	Professional		$1,323.42	$1,756.29	$2,730.92