Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,566.62 / $8,878.56 / $20,400.00	Facility		$1,566.62	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.15 / $1,064.31 / $3,533.91	Professional		$601.15	$1,064.31	$3,533.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $871.47 / $1,545.44 / $2,063.13	Professional		$871.47	$1,545.44	$2,063.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,114.00 / $1,605.97 / $1,833.82	Professional		$1,114.00	$1,605.97	$1,833.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $809.96 / $1,364.89 / $2,288.27	Facility		$809.96	$1,364.89	$2,288.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.24 / $1,154.11 / $2,204.67	Professional		$1,008.24	$1,154.11	$2,204.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $886.15 / $1,230.11 / $1,405.66	Facility		$886.15	$1,230.11	$1,405.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,064.31 / $1,590.35 / $6,246.00	Facility		$1,064.31	$1,590.35	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,130.16 / $1,634.88 / $2,063.13	Professional		$1,130.16	$1,634.88	$2,063.13
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 $1,295.86 / $1,721.41 / $2,200.80	Professional		$1,295.86	$1,721.41	$2,200.80
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 $1,007.00 / $1,397.65 / $2,241.62	Professional		$1,007.00	$1,397.65	$2,241.62