Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,282.19 / $12,274.80 / $21,735.00	Facility		$2,282.19	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.64 / $1,518.09 / $5,385.82	Professional		$911.64	$1,518.09	$5,385.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,421.61 / $2,282.52 / $3,018.97	Professional		$1,421.61	$2,282.52	$3,018.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,628.67 / $2,344.07 / $2,657.46	Professional		$1,628.67	$2,344.07	$2,657.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,451.87 / $2,211.25 / $3,263.89	Facility		$1,451.87	$2,211.25	$3,263.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.25 / $1,762.77 / $3,238.08	Professional		$1,619.25	$1,762.77	$3,238.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,449.14 / $1,957.07 / $2,071.28	Facility		$1,449.14	$1,957.07	$2,071.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,518.09 / $2,529.90 / $9,325.04	Facility		$1,518.09	$2,529.90	$9,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,811.59 / $2,410.02 / $3,042.38	Professional		$1,811.59	$2,410.02	$3,042.38
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 $1,891.83 / $2,518.94 / $3,220.43	Professional		$1,891.83	$2,518.94	$3,220.43
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 $1,548.14 / $2,290.65 / $3,272.55	Professional		$1,548.14	$2,290.65	$3,272.55