Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,223.51 / $8,878.56 / $20,400.00	Facility		$2,223.51	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.30 / $1,391.01 / $5,294.19	Professional		$918.30	$1,391.01	$5,294.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,398.57 / $2,261.21 / $3,035.69	Professional		$1,398.57	$2,261.21	$3,035.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,616.55 / $2,313.21 / $2,604.44	Professional		$1,616.55	$2,313.21	$2,604.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,391.01 / $2,085.03 / $2,990.67	Facility		$1,391.01	$2,085.03	$2,990.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,530.51 / $1,770.59 / $3,292.17	Professional		$1,530.51	$1,770.59	$3,292.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,408.44 / $1,907.36 / $2,068.29	Facility		$1,408.44	$1,907.36	$2,068.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,391.01 / $2,318.12 / $2,990.67	Facility		$1,391.01	$2,318.12	$2,990.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,780.22 / $2,396.16 / $3,056.71	Professional		$1,780.22	$2,396.16	$3,056.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,889.99 / $2,532.88 / $3,238.26	Professional		$1,889.99	$2,532.88	$3,238.26
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 $1,552.20 / $2,167.33 / $3,269.35	Professional		$1,552.20	$2,167.33	$3,269.35