Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.07 / $11,348.00 / $22,090.60	Facility		$1,217.07	$11,348.00	$22,090.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.02 / $2,970.02 / $21,008.10	Professional		$552.02	$2,970.02	$21,008.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $874.71 / $7,983.15 / $23,542.86	Professional		$874.71	$7,983.15	$23,542.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,034.09 / $1,519.34 / $20,509.66	Professional		$1,034.09	$1,519.34	$20,509.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $742.76 / $7,722.90 / $24,682.30	Facility		$742.76	$7,722.90	$24,682.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $875.29 / $12,937.85 / $25,718.87	Professional		$875.29	$12,937.85	$25,718.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,110.85 / $15,996.61 / $18,429.02	Facility		$1,110.85	$15,996.61	$18,429.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $742.76 / $13,890.64 / $24,682.30	Facility		$742.76	$13,890.64	$24,682.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,043.83 / $12,039.28 / $25,970.62	Professional		$1,043.83	$12,039.28	$25,970.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,055.91 / $1,879.24 / $24,743.02	Professional		$1,055.91	$1,879.24	$24,743.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $14,226.17 / $18,410.21 / $27,524.15	Professional		$14,226.17	$18,410.21	$27,524.15