Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,521.19 / $6,466.95 / $13,746.00	Facility		$1,521.19	$6,466.95	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.09 / $922.58 / $2,799.00	Professional		$525.09	$922.58	$2,799.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.89 / $1,500.96 / $2,009.04	Professional		$842.89	$1,500.96	$2,009.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,083.45 / $1,561.86 / $1,783.53	Professional		$1,083.45	$1,561.86	$1,783.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $686.96 / $1,319.14 / $2,215.40	Facility		$686.96	$1,319.14	$2,215.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $964.41 / $1,115.52 / $2,144.19	Professional		$964.41	$1,115.52	$2,144.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $822.49 / $1,192.73 / $1,368.81	Facility		$822.49	$1,192.73	$1,368.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,012.23 / $1,535.95 / $6,246.00	Facility		$1,012.23	$1,535.95	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,087.90 / $1,584.18 / $2,009.04	Professional		$1,087.90	$1,584.18	$2,009.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.34 / $1,676.28 / $2,143.11	Professional		$1,258.34	$1,676.28	$2,143.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $995.76 / $1,504.70 / $2,156.48	Professional		$995.76	$1,504.70	$2,156.48