Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,764.36 / $12,274.80 / $21,735.00	Facility		$2,764.36	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.89 / $1,834.80 / $6,362.35	Professional		$1,092.89	$1,834.80	$6,362.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,642.92 / $2,758.71 / $3,637.52	Professional		$1,642.92	$2,758.71	$3,637.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,975.48 / $2,849.90 / $3,251.95	Professional		$1,975.48	$2,849.90	$3,251.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,406.73 / $2,574.92 / $3,944.82	Facility		$1,406.73	$2,574.92	$3,944.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,870.17 / $2,088.78 / $3,914.98	Professional		$1,870.17	$2,088.78	$3,914.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,610.48 / $2,268.92 / $2,478.33	Facility		$1,610.48	$2,268.92	$2,478.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,834.80 / $2,971.90 / $9,325.04	Facility		$1,834.80	$2,971.90	$9,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,093.60 / $2,919.20 / $3,690.93	Professional		$2,093.60	$2,919.20	$3,690.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,287.30 / $3,035.03 / $3,880.25	Professional		$2,287.30	$3,035.03	$3,880.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,779.45 / $2,593.42 / $4,115.05	Professional		$1,779.45	$2,593.42	$4,115.05