Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,196.31 / $12,274.80 / $21,735.00	Facility		$2,196.31	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.22 / $1,131.09 / $5,060.72	Professional		$925.22	$1,131.09	$5,060.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.25 / $2,175.10 / $2,961.94	Professional		$1,325.25	$2,175.10	$2,961.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,597.20 / $2,292.48 / $2,581.10	Professional		$1,597.20	$2,292.48	$2,581.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,131.09 / $1,884.98 / $2,584.28	Facility		$1,131.09	$1,884.98	$2,584.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,475.07 / $1,706.69 / $3,198.82	Professional		$1,475.07	$1,706.69	$3,198.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,346.03 / $1,834.00 / $2,018.04	Facility		$1,346.03	$1,834.00	$2,018.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,131.09 / $2,079.73 / $2,557.14	Facility		$1,131.09	$2,079.73	$2,557.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,688.78 / $2,304.90 / $2,961.94	Professional		$1,688.78	$2,304.90	$2,961.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,954.51 / $4,954.51 / $4,954.51	Facility		$4,954.51	$4,954.51	$4,954.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,832.79 / $2,471.35 / $3,159.59	Professional		$1,832.79	$2,471.35	$3,159.59
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 $1,455.48 / $2,044.00 / $3,140.93	Professional		$1,455.48	$2,044.00	$3,140.93