Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,401.47 / $8,878.56 / $20,400.00	Facility		$1,401.47	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.66 / $832.65 / $3,356.97	Professional		$637.66	$832.65	$3,356.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $883.08 / $1,379.08 / $1,877.27	Professional		$883.08	$1,379.08	$1,877.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,026.43 / $1,466.95 / $1,651.64	Professional		$1,026.43	$1,466.95	$1,651.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $832.65 / $1,298.52 / $1,849.35	Facility		$832.65	$1,298.52	$1,849.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $939.42 / $1,123.84 / $2,041.31	Professional		$939.42	$1,123.84	$2,041.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $892.93 / $1,198.17 / $1,279.03	Facility		$892.93	$1,198.17	$1,279.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $832.65 / $1,537.16 / $6,246.00	Facility		$832.65	$1,537.16	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,125.32 / $1,476.50 / $1,874.01	Professional		$1,125.32	$1,476.50	$1,874.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $16,876.93 / $21,600.03	Facility		$13,624.30	$16,876.93	$21,600.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,158.72 / $1,566.33 / $2,002.54	Professional		$1,158.72	$1,566.33	$2,002.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $973.62 / $1,386.25 / $2,004.37	Professional		$973.62	$1,386.25	$2,004.37