Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,622.70 / $7,920.26 / $20,400.00	Facility		$1,622.70	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.57 / $932.36 / $2,323.62	Professional		$617.57	$932.36	$2,323.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.92 / $1,600.75 / $2,491.98	Professional		$1,076.92	$1,600.75	$2,491.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,164.63 / $1,638.52 / $2,015.35	Professional		$1,164.63	$1,638.52	$2,015.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $901.43 / $1,245.83 / $2,186.21	Facility		$901.43	$1,245.83	$2,186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.45 / $1,469.51 / $2,320.34	Professional		$1,170.45	$1,469.51	$2,320.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,063.43 / $1,552.73 / $1,786.89	Facility		$1,063.43	$1,552.73	$1,786.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.06 / $1,354.67 / $5,370.75	Facility		$933.06	$1,354.67	$5,370.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,333.86 / $1,679.48 / $2,282.86	Professional		$1,333.86	$1,679.48	$2,282.86
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 $1,419.10 / $1,823.97 / $2,525.62	Professional		$1,419.10	$1,823.97	$2,525.62
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 $1,162.99 / $1,699.50 / $2,661.53	Professional		$1,162.99	$1,699.50	$2,661.53