Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,442.38 / $12,274.80 / $21,735.00	Facility		$2,442.38	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.86 / $1,617.89 / $5,704.34	Professional		$972.86	$1,617.89	$5,704.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.12 / $2,432.58 / $3,230.40	Professional		$1,479.12	$2,432.58	$3,230.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,740.60 / $2,506.39 / $2,845.81	Professional		$1,740.60	$2,506.39	$2,845.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,470.31 / $2,327.98 / $3,478.46	Facility		$1,470.31	$2,327.98	$3,478.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,687.08 / $1,845.85 / $3,457.68	Professional		$1,687.08	$1,845.85	$3,457.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.58 / $2,052.77 / $2,203.88	Facility		$1,513.58	$2,052.77	$2,203.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,617.89 / $2,659.23 / $9,325.04	Facility		$1,617.89	$2,659.23	$9,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,884.87 / $2,582.08 / $3,255.84	Professional		$1,884.87	$2,582.08	$3,255.84
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 $2,023.45 / $2,695.34 / $3,445.96	Professional		$2,023.45	$2,695.34	$3,445.96
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 $1,637.18 / $2,358.21 / $3,500.23	Professional		$1,637.18	$2,358.21	$3,500.23