Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,296.86 / $12,274.80 / $21,735.00	Facility		$2,296.86	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.52 / $1,512.96 / $5,424.22	Professional		$920.52	$1,512.96	$5,424.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,430.40 / $2,274.81 / $3,048.48	Professional		$1,430.40	$2,274.81	$3,048.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,646.85 / $2,367.71 / $2,676.85	Professional		$1,646.85	$2,367.71	$2,676.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,491.82 / $2,222.85 / $3,252.86	Facility		$1,491.82	$2,222.85	$3,252.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,623.84 / $1,788.00 / $3,278.39	Professional		$1,623.84	$1,788.00	$3,278.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,461.74 / $1,978.51 / $2,084.88	Facility		$1,461.74	$1,978.51	$2,084.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,512.96 / $2,527.35 / $9,325.04	Facility		$1,512.96	$2,527.35	$9,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,822.78 / $2,426.59 / $3,058.34	Professional		$1,822.78	$2,426.59	$3,058.34
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 $1,904.75 / $2,543.55 / $3,251.90	Professional		$1,904.75	$2,543.55	$3,251.90
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 $1,535.57 / $2,285.31 / $3,294.91	Professional		$1,535.57	$2,285.31	$3,294.91