Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,887.28 / $12,274.80 / $21,735.00	Facility		$2,887.28	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,142.78 / $1,913.81 / $6,653.38	Professional		$1,142.78	$1,913.81	$6,653.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,719.61 / $2,877.49 / $3,801.74	Professional		$1,719.61	$2,877.49	$3,801.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,063.71 / $2,976.64 / $3,393.63	Professional		$2,063.71	$2,976.64	$3,393.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,512.58 / $2,707.14 / $4,114.68	Facility		$1,512.58	$2,707.14	$4,114.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,955.34 / $2,183.30 / $4,092.13	Professional		$1,955.34	$2,183.30	$4,092.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,730.98 / $2,376.34 / $2,590.80	Facility		$1,730.98	$2,376.34	$2,590.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,913.81 / $3,104.40 / $9,325.04	Facility		$1,913.81	$3,104.40	$9,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,194.50 / $3,048.00 / $3,856.33	Professional		$2,194.50	$3,048.00	$3,856.33
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 $2,389.39 / $3,172.05 / $4,055.43	Professional		$2,389.39	$3,172.05	$4,055.43
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 $1,898.99 / $2,980.67 / $4,094.80	Professional		$1,898.99	$2,980.67	$4,094.80