Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,394.13 / $7,920.26 / $20,400.00	Facility		$1,394.13	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.13 / $828.01 / $3,338.94	Professional		$639.13	$828.01	$3,338.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.84 / $1,371.39 / $1,868.42	Professional		$877.84	$1,371.39	$1,868.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,021.14 / $1,459.43 / $1,643.17	Professional		$1,021.14	$1,459.43	$1,643.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $828.01 / $1,291.28 / $1,780.22	Facility		$828.01	$1,291.28	$1,780.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.00 / $1,132.74 / $2,030.68	Professional		$1,008.00	$1,132.74	$2,030.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $887.12 / $1,194.07 / $1,273.00	Facility		$887.12	$1,194.07	$1,273.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $828.01 / $1,526.37 / $5,626.00	Facility		$828.01	$1,526.37	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,118.65 / $1,451.07 / $1,864.07	Professional		$1,118.65	$1,451.07	$1,864.07
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 $1,152.57 / $1,558.95 / $1,993.10	Professional		$1,152.57	$1,558.95	$1,993.10
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 $953.87 / $1,349.25 / $1,993.76	Professional		$953.87	$1,349.25	$1,993.76