Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,518.26 / $4,962.67 / $15,341.00	Facility		$1,518.26	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.87 / $802.63 / $2,198.69	Professional		$570.87	$802.63	$2,198.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $931.35 / $1,449.91 / $2,237.67	Professional		$931.35	$1,449.91	$2,237.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,124.08 / $1,541.90 / $1,886.38	Professional		$1,124.08	$1,541.90	$1,886.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $839.10 / $1,137.55 / $2,057.46	Facility		$839.10	$1,137.55	$2,057.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,150.05 / $1,357.23 / $2,246.08	Professional		$1,150.05	$1,357.23	$2,246.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,042.86 / $1,508.20 / $1,650.88	Facility		$1,042.86	$1,508.20	$1,650.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $877.89 / $1,367.90 / $3,005.10	Facility		$877.89	$1,367.90	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,231.90 / $1,528.32 / $2,084.73	Professional		$1,231.90	$1,528.32	$2,084.73
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 $1,329.76 / $1,675.89 / $2,366.62	Professional		$1,329.76	$1,675.89	$2,366.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,030.35 / $1,559.77 / $2,338.82	Professional		$1,030.35	$1,559.77	$2,338.82