Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,790.96 / $9,972.00 / $20,400.00	Facility		$1,790.96	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.51 / $1,221.56 / $4,079.91	Professional		$681.51	$1,221.56	$4,079.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.12 / $1,773.77 / $2,315.86	Professional		$1,011.12	$1,773.77	$2,315.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,251.48 / $1,805.15 / $2,058.06	Professional		$1,251.48	$1,805.15	$2,058.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $946.87 / $1,563.84 / $2,626.35	Facility		$946.87	$1,563.84	$2,626.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.93 / $1,324.02 / $2,481.58	Professional		$1,143.93	$1,324.02	$2,481.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $980.27 / $1,405.66 / $1,577.85	Facility		$980.27	$1,405.66	$1,577.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,221.56 / $1,821.55 / $7,952.00	Facility		$1,221.56	$1,821.55	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,293.05 / $1,875.90 / $2,315.86	Professional		$1,293.05	$1,875.90	$2,315.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,786.71 / $5,069.89 / $6,839.08	Facility		$3,786.71	$5,069.89	$6,839.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,483.45 / $1,932.28 / $2,470.40	Professional		$1,483.45	$1,932.28	$2,470.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,161.06 / $1,590.18 / $2,566.13	Professional		$1,161.06	$1,590.18	$2,566.13