Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,803.09 / $12,274.80 / $21,735.00	Facility		$1,803.09	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.82 / $1,465.93 / $5,233.38	Professional		$886.82	$1,465.93	$5,233.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.68 / $2,204.09 / $2,935.39	Professional		$1,380.68	$2,204.09	$2,935.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,583.61 / $2,277.17 / $2,576.27	Professional		$1,583.61	$2,277.17	$2,576.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,458.77 / $2,146.00 / $3,151.75	Facility		$1,458.77	$2,146.00	$3,151.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,569.78 / $1,758.00 / $3,151.06	Professional		$1,569.78	$1,758.00	$3,151.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,419.59 / $1,907.49 / $2,012.80	Facility		$1,419.59	$1,907.49	$2,012.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,465.93 / $2,455.96 / $9,325.04	Facility		$1,465.93	$2,455.96	$9,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,759.42 / $2,341.04 / $2,952.60	Professional		$1,759.42	$2,341.04	$2,952.60
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 $1,836.48 / $2,449.19 / $3,131.27	Professional		$1,836.48	$2,449.19	$3,131.27
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 $1,451.97 / $2,205.66 / $3,147.24	Professional		$1,451.97	$2,205.66	$3,147.24