Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.12 / $7,074.00 / $13,320.00	Facility		$1,700.12	$7,074.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.26 / $909.87 / $2,015.13	Professional		$665.26	$909.87	$2,015.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.65 / $1,696.86 / $2,589.63	Professional		$1,105.65	$1,696.86	$2,589.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,287.82 / $1,777.05 / $2,187.14	Professional		$1,287.82	$1,777.05	$2,187.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $972.30 / $1,319.52 / $2,242.66	Facility		$972.30	$1,319.52	$2,242.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,285.73 / $1,539.90 / $2,555.87	Professional		$1,285.73	$1,539.90	$2,555.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,117.20 / $1,708.85 / $1,876.67	Facility		$1,117.20	$1,708.85	$1,876.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $974.47 / $1,460.09 / $5,370.75	Facility		$974.47	$1,460.09	$5,370.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,419.00 / $1,739.27 / $2,414.08	Professional		$1,419.00	$1,739.27	$2,414.08
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 $1,531.10 / $1,951.54 / $2,724.95	Professional		$1,531.10	$1,951.54	$2,724.95
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 $1,221.42 / $1,724.45 / $2,742.15	Professional		$1,221.42	$1,724.45	$2,742.15