Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.06 / $2,747.00 / $7,920.26	Facility		$1,420.06	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.45 / $918.29 / $3,741.87	Professional		$732.45	$918.29	$3,741.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $986.88 / $1,522.20 / $2,062.15	Professional		$986.88	$1,522.20	$2,062.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,123.48 / $1,590.43 / $1,790.67	Professional		$1,123.48	$1,590.43	$1,790.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $918.29 / $1,441.73 / $1,974.32	Facility		$918.29	$1,441.73	$1,974.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.08 / $1,279.68 / $2,239.67	Professional		$1,050.08	$1,279.68	$2,239.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,003.40 / $1,362.78 / $1,406.67	Facility		$1,003.40	$1,362.78	$1,406.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $918.29 / $1,578.54 / $1,974.32	Facility		$918.29	$1,578.54	$1,974.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,248.66 / $1,644.49 / $2,062.83	Professional		$1,248.66	$1,644.49	$2,062.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,279.26 / $1,720.59 / $2,199.75	Professional		$1,279.26	$1,720.59	$2,199.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,093.92 / $1,561.79 / $2,212.90	Professional		$1,093.92	$1,561.79	$2,212.90