Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.64 / $7,920.26 / $20,400.00	Facility		$1,362.64	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.13 / $1,073.02 / $3,262.95	Professional		$518.13	$1,073.02	$3,262.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $943.94 / $1,498.05 / $2,087.03	Professional		$943.94	$1,498.05	$2,087.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,196.59 / $1,489.19 / $1,838.13	Professional		$1,196.59	$1,489.19	$1,838.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $859.64 / $1,340.61 / $1,848.23	Facility		$859.64	$1,340.61	$1,848.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,002.33 / $1,248.74 / $2,094.44	Professional		$1,002.33	$1,248.74	$2,094.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $902.49 / $1,313.93 / $1,524.92	Facility		$902.49	$1,313.93	$1,524.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $859.64 / $1,446.24 / $3,290.00	Facility		$859.64	$1,446.24	$3,290.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,134.89 / $1,556.91 / $2,089.32	Professional		$1,134.89	$1,556.91	$2,089.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,539.09 / $11,131.60 / $14,269.30	Facility		$8,539.09	$11,131.60	$14,269.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,197.69 / $1,596.88 / $2,151.77	Professional		$1,197.69	$1,596.88	$2,151.77
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 $1,153.28 / $1,523.20 / $2,416.12	Professional		$1,153.28	$1,523.20	$2,416.12