Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,682.07 / $7,920.26 / $20,400.00	Facility		$1,682.07	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.46 / $1,367.54 / $4,870.39	Professional		$824.46	$1,367.54	$4,870.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,282.42 / $2,056.16 / $2,730.84	Professional		$1,282.42	$2,056.16	$2,730.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,473.41 / $2,119.37 / $2,399.91	Professional		$1,473.41	$2,119.37	$2,399.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,344.49 / $1,998.10 / $2,940.21	Facility		$1,344.49	$1,998.10	$2,940.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,458.09 / $1,600.20 / $2,930.38	Professional		$1,458.09	$1,600.20	$2,930.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,310.57 / $1,772.82 / $1,870.00	Facility		$1,310.57	$1,772.82	$1,870.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,367.54 / $2,279.01 / $9,325.04	Facility		$1,367.54	$2,279.01	$9,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,634.21 / $2,178.30 / $2,749.11	Professional		$1,634.21	$2,178.30	$2,749.11
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 $1,709.16 / $2,278.53 / $2,913.07	Professional		$1,709.16	$2,278.53	$2,913.07
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 $1,402.38 / $2,070.25 / $2,956.59	Professional		$1,402.38	$2,070.25	$2,956.59