Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,596.78 / $4,962.67 / $15,341.00	Facility		$1,596.78	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.35 / $801.85 / $2,295.67	Professional		$482.35	$801.85	$2,295.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.68 / $1,460.02 / $2,211.40	Professional		$895.68	$1,460.02	$2,211.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,170.82 / $1,511.42 / $1,850.73	Professional		$1,170.82	$1,511.42	$1,850.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $880.48 / $1,137.28 / $1,751.14	Facility		$880.48	$1,137.28	$1,751.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,108.38 / $1,309.44 / $2,344.73	Professional		$1,108.38	$1,309.44	$2,344.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $927.01 / $1,333.97 / $1,599.29	Facility		$927.01	$1,333.97	$1,599.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $899.04 / $1,321.56 / $3,005.10	Facility		$899.04	$1,321.56	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,191.59 / $1,501.14 / $2,141.13	Professional		$1,191.59	$1,501.14	$2,141.13
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 $1,340.76 / $1,677.26 / $2,503.96	Professional		$1,340.76	$1,677.26	$2,503.96
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 $984.27 / $1,452.79 / $2,361.35	Professional		$984.27	$1,452.79	$2,361.35