Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,476.77 / $5,649.00 / $15,341.00	Facility		$1,476.77	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.26 / $998.69 / $3,331.12	Professional		$568.26	$998.69	$3,331.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $819.81 / $1,452.27 / $1,948.07	Professional		$819.81	$1,452.27	$1,948.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,046.75 / $1,509.38 / $1,720.41	Professional		$1,046.75	$1,509.38	$1,720.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $816.36 / $1,294.44 / $2,147.17	Facility		$816.36	$1,294.44	$2,147.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $949.05 / $1,096.78 / $2,075.26	Professional		$949.05	$1,096.78	$2,075.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $820.00 / $1,159.57 / $1,327.27	Facility		$820.00	$1,159.57	$1,327.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $998.69 / $1,494.30 / $3,274.00	Facility		$998.69	$1,494.30	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,063.83 / $1,538.94 / $1,948.07	Professional		$1,063.83	$1,538.94	$1,948.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,222.68 / $1,625.41 / $2,078.07	Professional		$1,222.68	$1,625.41	$2,078.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $951.88 / $1,317.85 / $2,115.04	Professional		$951.88	$1,317.85	$2,115.04