Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,594.21 / $9,972.00 / $20,400.00	Facility		$2,594.21	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.20 / $1,704.41 / $6,081.63	Professional		$1,039.20	$1,704.41	$6,081.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,583.61 / $2,562.65 / $3,435.93	Professional		$1,583.61	$2,562.65	$3,435.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,854.51 / $2,666.77 / $3,017.14	Professional		$1,854.51	$2,666.77	$3,017.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,650.11 / $2,499.57 / $3,664.48	Facility		$1,650.11	$2,499.57	$3,664.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,797.75 / $1,984.18 / $3,690.03	Professional		$1,797.75	$1,984.18	$3,690.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,654.24 / $2,204.07 / $2,356.19	Facility		$1,654.24	$2,204.07	$2,356.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,704.41 / $2,852.71 / $7,952.00	Facility		$1,704.41	$2,852.71	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,018.02 / $2,725.89 / $3,456.34	Professional		$2,018.02	$2,725.89	$3,456.34
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 $2,151.38 / $2,866.83 / $3,665.21	Professional		$2,151.38	$2,866.83	$3,665.21
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 $1,720.68 / $2,456.44 / $3,721.50	Professional		$1,720.68	$2,456.44	$3,721.50