Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,391.04 / $5,649.00 / $15,341.00	Facility		$1,391.04	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.85 / $826.17 / $3,331.47	Professional		$637.85	$826.17	$3,331.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.91 / $1,368.34 / $1,863.50	Professional		$875.91	$1,368.34	$1,863.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,018.95 / $1,456.34 / $1,639.70	Professional		$1,018.95	$1,456.34	$1,639.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $826.17 / $1,288.41 / $1,776.27	Facility		$826.17	$1,288.41	$1,776.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,019.40 / $1,130.26 / $2,026.45	Professional		$1,019.40	$1,130.26	$2,026.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $882.76 / $1,189.39 / $1,269.65	Facility		$882.76	$1,189.39	$1,269.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $826.17 / $1,519.73 / $3,274.00	Facility		$826.17	$1,519.73	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,116.18 / $1,447.85 / $1,860.09	Professional		$1,116.18	$1,447.85	$1,860.09
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 $1,150.10 / $1,554.85 / $1,987.86	Professional		$1,150.10	$1,554.85	$1,987.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $951.83 / $1,320.58 / $1,970.98	Professional		$951.83	$1,320.58	$1,970.98