Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,491.80 / $5,649.00 / $15,341.00	Facility		$1,491.80	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.16 / $961.58 / $3,561.95	Professional		$686.16	$961.58	$3,561.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.30 / $1,538.49 / $2,002.16	Professional		$935.30	$1,538.49	$2,002.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.88 / $1,567.17 / $1,764.47	Professional		$1,094.88	$1,567.17	$1,764.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $961.58 / $1,375.06 / $2,067.40	Facility		$961.58	$1,375.06	$2,067.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.66 / $1,373.34 / $2,176.05	Professional		$1,094.66	$1,373.34	$2,176.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $948.65 / $1,304.49 / $1,364.12	Facility		$948.65	$1,304.49	$1,364.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $961.58 / $1,602.47 / $2,067.40	Facility		$961.58	$1,602.47	$2,067.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,191.86 / $1,588.00 / $1,994.37	Professional		$1,191.86	$1,588.00	$1,994.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,378.18 / $13,050.49	Facility		$6,909.34	$10,378.18	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,233.14 / $1,670.54 / $2,135.76	Professional		$1,233.14	$1,670.54	$2,135.76
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 $1,020.55 / $1,471.44 / $2,133.12	Professional		$1,020.55	$1,471.44	$2,133.12