Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,898.13 / $8,790.81 / $25,428.05	Facility		$1,898.13	$8,790.81	$25,428.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.86 / $1,170.63 / $2,705.75	Professional		$759.86	$1,170.63	$2,705.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,205.78 / $2,006.10 / $2,644.31	Professional		$1,205.78	$2,006.10	$2,644.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,423.61 / $2,052.90 / $2,338.61	Professional		$1,423.61	$2,052.90	$2,338.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,104.86 / $1,885.75 / $2,868.64	Facility		$1,104.86	$1,885.75	$2,868.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,379.55 / $1,506.86 / $2,824.28	Professional		$1,379.55	$1,506.86	$2,824.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,223.84 / $1,667.63 / $1,808.80	Facility		$1,223.84	$1,667.63	$1,808.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,334.25 / $2,161.89 / $7,952.00	Facility		$1,334.25	$2,161.89	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,536.55 / $2,124.08 / $2,664.32	Professional		$1,536.55	$2,124.08	$2,664.32
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 $1,657.50 / $2,206.32 / $2,820.76	Professional		$1,657.50	$2,206.32	$2,820.76
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 $1,329.78 / $1,934.97 / $2,867.21	Professional		$1,329.78	$1,934.97	$2,867.21