Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,543.06 / $8,878.56 / $20,400.00	Facility		$1,543.06	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.53 / $997.47 / $3,711.54	Professional		$724.53	$997.47	$3,711.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.23 / $1,521.31 / $2,067.06	Professional		$977.23	$1,521.31	$2,067.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,128.21 / $1,610.45 / $1,813.20	Professional		$1,128.21	$1,610.45	$1,813.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $997.47 / $1,492.05 / $2,144.56	Facility		$997.47	$1,492.05	$2,144.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.89 / $1,247.34 / $2,243.94	Professional		$1,039.89	$1,247.34	$2,243.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $984.50 / $1,331.61 / $1,408.34	Facility		$984.50	$1,331.61	$1,408.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $997.47 / $1,694.86 / $6,246.00	Facility		$997.47	$1,694.86	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,242.61 / $1,615.38 / $2,064.00	Professional		$1,242.61	$1,615.38	$2,064.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,273.56 / $9,753.18 / $13,050.49	Facility		$5,273.56	$9,753.18	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,276.18 / $1,724.69 / $2,205.00	Professional		$1,276.18	$1,724.69	$2,205.00
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 $1,057.16 / $1,535.21 / $2,207.59	Professional		$1,057.16	$1,535.21	$2,207.59