Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,676.27 / $7,920.26 / $20,400.00	Facility		$1,676.27	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.64 / $996.20 / $4,022.79	Professional		$769.64	$996.20	$4,022.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.08 / $1,649.96 / $2,244.07	Professional		$1,058.08	$1,649.96	$2,244.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,226.32 / $1,750.95 / $1,971.39	Professional		$1,226.32	$1,750.95	$1,971.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $996.20 / $1,553.57 / $2,141.83	Facility		$996.20	$1,553.57	$2,141.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.43 / $1,365.86 / $2,439.17	Professional		$1,220.43	$1,365.86	$2,439.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,094.97 / $1,433.80 / $1,528.94	Facility		$1,094.97	$1,433.80	$1,528.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $996.20 / $1,660.17 / $2,079.10	Facility		$996.20	$1,660.17	$2,079.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.33 / $1,782.73 / $2,242.05	Professional		$1,348.33	$1,782.73	$2,242.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,425.68 / $4,425.68 / $4,425.68	Facility		$4,425.68	$4,425.68	$4,425.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,386.28 / $1,872.38 / $2,393.82	Professional		$1,386.28	$1,872.38	$2,393.82
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 $1,147.29 / $1,759.42 / $2,398.04	Professional		$1,147.29	$1,759.42	$2,398.04