Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,763.42 / $8,878.56 / $20,400.00	Facility		$1,763.42	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.42 / $803.36 / $2,526.34	Professional		$588.42	$803.36	$2,526.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.37 / $1,508.26 / $2,306.71	Professional		$972.37	$1,508.26	$2,306.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,286.68 / $1,590.80 / $1,930.09	Professional		$1,286.68	$1,590.80	$1,930.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $934.84 / $1,198.85 / $2,201.08	Facility		$934.84	$1,198.85	$2,201.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,243.44 / $1,372.14 / $2,431.73	Professional		$1,243.44	$1,372.14	$2,431.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,056.18 / $1,481.74 / $1,609.34	Facility		$1,056.18	$1,481.74	$1,609.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $968.22 / $1,595.36 / $7,339.00	Facility		$968.22	$1,595.36	$7,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,262.97 / $1,548.82 / $2,215.40	Professional		$1,262.97	$1,548.82	$2,215.40
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 $1,471.15 / $1,682.21 / $2,549.39	Professional		$1,471.15	$1,682.21	$2,549.39
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 $1,028.55 / $1,481.99 / $2,478.11	Professional		$1,028.55	$1,481.99	$2,478.11