Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,402.90 / $7,074.00 / $13,320.00	Facility		$1,402.90	$7,074.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.54 / $868.52 / $1,927.81	Professional		$631.54	$868.52	$1,927.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.28 / $1,528.01 / $2,400.21	Professional		$1,031.28	$1,528.01	$2,400.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,146.50 / $1,649.17 / $2,048.62	Professional		$1,146.50	$1,649.17	$2,048.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $893.24 / $1,223.99 / $2,091.60	Facility		$893.24	$1,223.99	$2,091.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,146.42 / $1,435.50 / $2,278.94	Professional		$1,146.42	$1,435.50	$2,278.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,120.05 / $1,591.89 / $1,752.05	Facility		$1,120.05	$1,591.89	$1,752.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $907.90 / $1,356.69 / $5,370.75	Facility		$907.90	$1,356.69	$5,370.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,279.16 / $1,620.52 / $2,212.29	Professional		$1,279.16	$1,620.52	$2,212.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,364.07 / $1,747.33 / $2,455.92	Professional		$1,364.07	$1,747.33	$2,455.92
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 $1,157.60 / $1,625.58 / $2,545.76	Professional		$1,157.60	$1,625.58	$2,545.76