Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,510.97 / $8,878.56 / $20,400.00	Facility		$1,510.97	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.01 / $975.09 / $3,622.50	Professional		$687.01	$975.09	$3,622.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.88 / $1,487.19 / $2,022.81	Professional		$951.88	$1,487.19	$2,022.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,104.15 / $1,576.30 / $1,774.75	Professional		$1,104.15	$1,576.30	$1,774.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $975.09 / $1,458.70 / $2,096.44	Facility		$975.09	$1,458.70	$2,096.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.86 / $1,227.20 / $2,196.19	Professional		$1,012.86	$1,227.20	$2,196.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $967.26 / $1,289.85 / $1,390.25	Facility		$967.26	$1,289.85	$1,390.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $975.09 / $1,615.64 / $2,096.44	Facility		$975.09	$1,615.64	$2,096.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,213.00 / $1,588.51 / $2,021.23	Professional		$1,213.00	$1,588.51	$2,021.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,249.74 / $1,687.77 / $2,157.79	Professional		$1,249.74	$1,687.77	$2,157.79
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 $1,051.53 / $1,585.93 / $2,161.85	Professional		$1,051.53	$1,585.93	$2,161.85