Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,677.23 / $4,962.67 / $15,341.00	Facility		$1,677.23	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.21 / $882.89 / $2,401.39	Professional		$613.21	$882.89	$2,401.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.25 / $1,575.46 / $2,416.96	Professional		$1,004.25	$1,575.46	$2,416.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,220.57 / $1,657.21 / $2,036.80	Professional		$1,220.57	$1,657.21	$2,036.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $916.51 / $1,239.64 / $2,125.17	Facility		$916.51	$1,239.64	$2,125.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.68 / $1,442.91 / $2,428.54	Professional		$1,221.68	$1,442.91	$2,428.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,121.67 / $1,570.04 / $1,756.74	Facility		$1,121.67	$1,570.04	$1,756.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $967.14 / $1,490.67 / $3,020.98	Facility		$967.14	$1,490.67	$3,020.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,317.12 / $1,652.91 / $2,285.71	Professional		$1,317.12	$1,652.91	$2,285.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,115.96 / $14,408.62	Facility		$8,391.79	$11,115.96	$14,408.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,467.01 / $1,833.42 / $2,610.89	Professional		$1,467.01	$1,833.42	$2,610.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,053.35 / $1,650.66 / $2,777.30	Professional		$1,053.35	$1,650.66	$2,777.30