Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,668.04 / $9,972.00 / $20,400.00	Facility		$1,668.04	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.00 / $1,129.54 / $3,760.70	Professional		$633.00	$1,129.54	$3,760.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.21 / $1,640.71 / $2,198.84	Professional		$929.21	$1,640.71	$2,198.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,187.36 / $1,712.97 / $1,954.60	Professional		$1,187.36	$1,712.97	$1,954.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $835.63 / $1,446.04 / $2,428.51	Facility		$835.63	$1,446.04	$2,428.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.18 / $1,230.72 / $2,353.23	Professional		$1,076.18	$1,230.72	$2,353.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $914.78 / $1,314.54 / $1,498.12	Facility		$914.78	$1,314.54	$1,498.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,129.54 / $1,706.80 / $7,952.00	Facility		$1,129.54	$1,706.80	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,194.05 / $1,738.62 / $2,198.84	Professional		$1,194.05	$1,738.62	$2,198.84
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 $1,380.13 / $1,834.64 / $2,345.56	Professional		$1,380.13	$1,834.64	$2,345.56
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 $1,052.48 / $1,473.70 / $2,387.39	Professional		$1,052.48	$1,473.70	$2,387.39