Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,874.60 / $7,920.26 / $20,400.00	Facility		$1,874.60	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.29 / $1,247.35 / $4,368.10	Professional		$743.29	$1,247.35	$4,368.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.40 / $1,875.47 / $2,478.12	Professional		$1,132.40	$1,875.47	$2,478.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,334.82 / $1,924.00 / $2,190.36	Professional		$1,334.82	$1,924.00	$2,190.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,068.75 / $1,778.31 / $2,681.82	Facility		$1,068.75	$1,778.31	$2,681.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,294.89 / $1,412.90 / $2,648.17	Professional		$1,294.89	$1,412.90	$2,648.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,133.91 / $1,567.42 / $1,692.52	Facility		$1,133.91	$1,567.42	$1,692.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,247.35 / $2,034.72 / $5,626.00	Facility		$1,247.35	$2,034.72	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,443.04 / $1,989.23 / $2,498.73	Professional		$1,443.04	$1,989.23	$2,498.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,551.72 / $2,067.66 / $2,643.48	Professional		$1,551.72	$2,067.66	$2,643.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,201.56 / $1,746.89 / $2,684.20	Professional		$1,201.56	$1,746.89	$2,684.20