Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,398.87 / $5,649.00 / $15,341.00	Facility		$1,398.87	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.35 / $712.61 / $1,697.13	Professional		$539.35	$712.61	$1,697.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.45 / $1,188.80 / $1,804.64	Professional		$779.45	$1,188.80	$1,804.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,015.14 / $1,255.08 / $1,513.88	Professional		$1,015.14	$1,255.08	$1,513.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $761.57 / $989.67 / $1,833.44	Facility		$761.57	$989.67	$1,833.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.26 / $1,099.26 / $1,918.35	Professional		$1,017.26	$1,099.26	$1,918.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $872.58 / $1,176.25 / $1,273.00	Facility		$872.58	$1,176.25	$1,273.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $856.94 / $1,349.19 / $4,681.00	Facility		$856.94	$1,349.19	$4,681.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,020.47 / $1,221.83 / $1,736.04	Professional		$1,020.47	$1,221.83	$1,736.04
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 $1,160.56 / $1,317.54 / $2,011.16	Professional		$1,160.56	$1,317.54	$2,011.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $868.77 / $1,231.34 / $1,815.55	Professional		$868.77	$1,231.34	$1,815.55