Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.23 / $7,920.26 / $20,400.00	Facility		$1,292.23	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.35 / $835.66 / $1,860.72	Professional		$554.35	$835.66	$1,860.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.99 / $1,274.54 / $1,730.75	Professional		$818.99	$1,274.54	$1,730.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $945.27 / $1,350.36 / $1,520.37	Professional		$945.27	$1,350.36	$1,520.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $835.66 / $1,248.45 / $1,796.67	Facility		$835.66	$1,248.45	$1,796.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $893.01 / $1,033.08 / $1,880.03	Professional		$893.01	$1,033.08	$1,880.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $828.01 / $1,139.67 / $1,179.20	Facility		$828.01	$1,139.67	$1,179.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $835.66 / $1,425.94 / $5,626.00	Facility		$835.66	$1,425.94	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,039.74 / $1,374.16 / $1,727.79	Professional		$1,039.74	$1,374.16	$1,727.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,068.30 / $1,444.08 / $1,846.24	Professional		$1,068.30	$1,444.08	$1,846.24
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 $901.53 / $1,283.56 / $1,847.99	Professional		$901.53	$1,283.56	$1,847.99