Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,011.87 / $11,481.54	Facility		$1,513.56	$5,011.87	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,238.72 / $4,365.16	Professional		$398.11	$2,238.72	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,677.35 / $20,417.38	Facility		$1,513.56	$4,677.35	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,344.23 / $4,677.35	Professional		$851.14	$2,344.23	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $14,125.38 / $14,125.38	Facility		$2,089.30	$14,125.38	$14,125.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $1,659,586.91	Facility		$1,659.59	$2,511.89	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,197.01 / $21,877.62	Facility		$13,489.63	$18,197.01	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $6,606.93 / $7,079.46	Professional		$3,890.45	$6,606.93	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $16,218.10 / $23,988.33	Facility		$2,238.72	$16,218.10	$23,988.33