Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,359.27 / $5,229.00 / $15,341.00	Facility		$1,359.27	$5,229.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.32 / $838.40 / $2,040.59	Professional		$641.32	$838.40	$2,040.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.73 / $1,494.14 / $2,349.29	Professional		$1,008.73	$1,494.14	$2,349.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,278.43 / $1,580.61 / $1,903.21	Professional		$1,278.43	$1,580.61	$1,903.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $939.34 / $1,193.51 / $2,225.14	Facility		$939.34	$1,193.51	$2,225.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,287.33 / $1,404.36 / $2,414.46	Professional		$1,287.33	$1,404.36	$2,414.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,118.23 / $1,540.33 / $1,689.26	Facility		$1,118.23	$1,540.33	$1,689.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,014.64 / $1,667.71 / $4,681.00	Facility		$1,014.64	$1,667.71	$4,681.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,287.00 / $1,537.81 / $2,223.00	Professional		$1,287.00	$1,537.81	$2,223.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,460.69 / $1,715.46 / $2,531.28	Professional		$1,460.69	$1,715.46	$2,531.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,041.76 / $1,563.32 / $2,636.24	Professional		$1,041.76	$1,563.32	$2,636.24