Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,424.19 / $7,920.26 / $20,400.00	Facility		$1,424.19	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.45 / $870.31 / $3,372.66	Professional		$591.45	$870.31	$3,372.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.55 / $1,389.56 / $1,946.11	Professional		$851.55	$1,389.56	$1,946.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,039.45 / $1,492.98 / $1,699.57	Professional		$1,039.45	$1,492.98	$1,699.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.31 / $1,244.54 / $1,871.17	Facility		$870.31	$1,244.54	$1,871.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.04 / $1,211.64 / $2,111.34	Professional		$1,015.04	$1,211.64	$2,111.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $892.78 / $1,196.55 / $1,325.93	Facility		$892.78	$1,196.55	$1,325.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.31 / $1,526.85 / $7,455.00	Facility		$870.31	$1,526.85	$7,455.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,099.56 / $1,498.10 / $2,013.90	Professional		$1,099.56	$1,498.10	$2,013.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $16,642.54 / $20,571.93	Facility		$12,954.82	$16,642.54	$20,571.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,207.92 / $1,589.07 / $2,093.23	Professional		$1,207.92	$1,589.07	$2,093.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $965.44 / $1,347.13 / $2,089.48	Professional		$965.44	$1,347.13	$2,089.48