Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,911.75 / $4,962.67 / $15,341.00	Facility		$1,911.75	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.43 / $1,076.76 / $2,211.98	Professional		$737.43	$1,076.76	$2,211.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,119.32 / $1,838.65 / $2,550.89	Professional		$1,119.32	$1,838.65	$2,550.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,384.06 / $1,980.53 / $2,229.88	Professional		$1,384.06	$1,980.53	$2,229.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,076.76 / $1,646.10 / $2,315.03	Facility		$1,076.76	$1,646.10	$2,315.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.34 / $1,836.93 / $2,763.83	Professional		$1,390.34	$1,836.93	$2,763.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,038.36 / $1,610.96 / $1,737.98	Facility		$1,038.36	$1,610.96	$1,737.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,076.76 / $2,162.98 / $2,315.03	Facility		$1,076.76	$2,162.98	$2,315.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,446.46 / $1,893.62 / $2,496.31	Professional		$1,446.46	$1,893.62	$2,496.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32,367.05 / $40,843.19 / $53,949.60	Facility		$32,367.05	$40,843.19	$53,949.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,588.62 / $2,128.38 / $2,721.11	Professional		$1,588.62	$2,128.38	$2,721.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,236.49 / $1,753.26 / $2,748.06	Professional		$1,236.49	$1,753.26	$2,748.06