Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,684.69 / $5,376.37 / $20,400.00	Facility		$1,684.69	$5,376.37	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.39 / $922.18 / $2,124.94	Professional		$686.39	$922.18	$2,124.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.23 / $1,652.99 / $2,578.96	Professional		$1,117.23	$1,652.99	$2,578.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,233.41 / $1,771.66 / $2,182.15	Professional		$1,233.41	$1,771.66	$2,182.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $947.74 / $1,305.57 / $2,266.73	Facility		$947.74	$1,305.57	$2,266.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.75 / $1,538.60 / $2,446.58	Professional		$1,230.75	$1,538.60	$2,446.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,134.44 / $1,689.26 / $1,865.28	Facility		$1,134.44	$1,689.26	$1,865.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $975.71 / $1,470.38 / $5,370.75	Facility		$975.71	$1,470.38	$5,370.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,377.02 / $1,733.12 / $2,358.23	Professional		$1,377.02	$1,733.12	$2,358.23
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 $1,465.07 / $1,876.31 / $2,612.26	Professional		$1,465.07	$1,876.31	$2,612.26
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 $1,213.14 / $1,766.78 / $2,725.59	Professional		$1,213.14	$1,766.78	$2,725.59