Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.58 / $7,920.26 / $20,400.00	Facility		$1,148.58	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.19 / $1,000.77 / $2,742.14	Professional		$571.19	$1,000.77	$2,742.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.08 / $1,282.66 / $1,869.98	Professional		$793.08	$1,282.66	$1,869.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,012.29 / $1,259.81 / $1,586.61	Professional		$1,012.29	$1,259.81	$1,586.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $717.92 / $1,256.31 / $1,717.85	Facility		$717.92	$1,256.31	$1,717.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $830.46 / $1,110.11 / $1,898.85	Professional		$830.46	$1,110.11	$1,898.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $755.26 / $1,196.00 / $1,311.86	Facility		$755.26	$1,196.00	$1,311.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $790.11 / $1,384.03 / $2,662.00	Facility		$790.11	$1,384.03	$2,662.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $969.57 / $1,313.63 / $1,766.40	Professional		$969.57	$1,313.63	$1,766.40
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 $996.35 / $1,331.45 / $1,819.20	Professional		$996.35	$1,331.45	$1,819.20
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 $977.27 / $1,470.68 / $2,042.67	Professional		$977.27	$1,470.68	$2,042.67