Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.89 / $9,972.00 / $20,400.00	Facility		$1,758.89	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.96 / $924.67 / $4,105.81	Professional		$744.96	$924.67	$4,105.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.77 / $1,745.97 / $2,357.16	Professional		$1,025.77	$1,745.97	$2,357.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,263.42 / $1,810.84 / $2,038.82	Professional		$1,263.42	$1,810.84	$2,038.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $924.67 / $1,540.96 / $1,988.04	Facility		$924.67	$1,540.96	$1,988.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,157.69 / $1,350.63 / $2,531.46	Professional		$1,157.69	$1,350.63	$2,531.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,019.39 / $1,409.68 / $1,605.99	Facility		$1,019.39	$1,409.68	$1,605.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $924.67 / $1,754.62 / $7,952.00	Facility		$924.67	$1,754.62	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,317.33 / $1,850.16 / $2,357.16	Professional		$1,317.33	$1,850.16	$2,357.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,892.24 / $23,665.33 / $28,288.01	Facility		$18,892.24	$23,665.33	$28,288.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,467.47 / $1,966.74 / $2,514.44	Professional		$1,467.47	$1,966.74	$2,514.44
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 $1,200.45 / $1,585.50 / $2,514.85	Professional		$1,200.45	$1,585.50	$2,514.85