Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,665.26 / $7,920.26 / $21,735.00	Facility		$1,665.26	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.81 / $1,353.87 / $5,578.70	Professional		$1,071.81	$1,353.87	$5,578.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,433.89 / $2,243.07 / $3,163.53	Professional		$1,433.89	$2,243.07	$3,163.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,685.95 / $2,404.02 / $2,736.66	Professional		$1,685.95	$2,404.02	$2,736.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,353.87 / $2,062.41 / $2,910.82	Facility		$1,353.87	$2,062.41	$2,910.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,722.85 / $2,077.66 / $3,424.81	Professional		$1,722.85	$2,077.66	$3,424.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,530.54 / $2,053.79 / $2,157.64	Facility		$1,530.54	$2,053.79	$2,157.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,353.87 / $2,182.07 / $2,869.12	Facility		$1,353.87	$2,182.07	$2,869.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,852.08 / $2,496.00 / $3,192.00	Professional		$1,852.08	$2,496.00	$3,192.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,021.72 / $2,583.46 / $3,403.10	Professional		$2,021.72	$2,583.46	$3,403.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,604.46 / $2,269.42 / $3,397.03	Professional		$1,604.46	$2,269.42	$3,397.03