Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,827.65 / $12,274.80 / $21,735.00	Facility		$2,827.65	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.14 / $1,876.11 / $6,513.64	Professional		$1,118.14	$1,876.11	$6,513.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,682.23 / $2,820.81 / $3,723.07	Professional		$1,682.23	$2,820.81	$3,723.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,020.38 / $2,914.50 / $3,324.23	Professional		$2,020.38	$2,914.50	$3,324.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,461.49 / $2,641.48 / $4,033.64	Facility		$1,461.49	$2,641.48	$4,033.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,914.54 / $2,136.89 / $4,005.14	Professional		$1,914.54	$2,136.89	$4,005.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,671.33 / $2,323.94 / $2,536.62	Facility		$1,671.33	$2,323.94	$2,536.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,876.11 / $3,040.16 / $9,325.04	Facility		$1,876.11	$3,040.16	$9,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,143.69 / $2,987.20 / $3,776.54	Professional		$2,143.69	$2,987.20	$3,776.54
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 $2,339.57 / $3,106.41 / $3,971.51	Professional		$2,339.57	$3,106.41	$3,971.51
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 $1,893.24 / $2,918.99 / $4,222.43	Professional		$1,893.24	$2,918.99	$4,222.43