Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,494.94 / $12,274.80 / $21,735.00	Facility		$2,494.94	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.21 / $1,650.74 / $5,828.04	Professional		$994.21	$1,650.74	$5,828.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,511.89 / $2,481.96 / $3,299.24	Professional		$1,511.89	$2,481.96	$3,299.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.47 / $2,560.78 / $2,906.39	Professional		$1,778.47	$2,560.78	$2,906.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,510.59 / $2,389.63 / $3,549.09	Facility		$1,510.59	$2,389.63	$3,549.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,723.29 / $1,885.56 / $3,534.07	Professional		$1,723.29	$1,885.56	$3,534.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,526.40 / $2,097.31 / $2,248.76	Facility		$1,526.40	$2,097.31	$2,248.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,650.74 / $2,722.41 / $9,325.04	Facility		$1,650.74	$2,722.41	$9,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,926.62 / $2,636.24 / $3,325.67	Professional		$1,926.62	$2,636.24	$3,325.67
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 $2,067.11 / $2,752.78 / $3,519.40	Professional		$2,067.11	$2,752.78	$3,519.40
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 $1,704.79 / $2,809.73 / $3,730.71	Professional		$1,704.79	$2,809.73	$3,730.71