Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,832.77 / $8,878.56 / $20,400.00	Facility		$1,832.77	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.75 / $964.80 / $4,326.08	Professional		$826.75	$964.80	$4,326.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,097.47 / $1,818.10 / $2,455.50	Professional		$1,097.47	$1,818.10	$2,455.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,317.51 / $1,882.92 / $2,119.98	Professional		$1,317.51	$1,882.92	$2,119.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $964.80 / $1,607.84 / $2,273.27	Facility		$964.80	$1,607.84	$2,273.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,247.46 / $1,443.14 / $2,642.86	Professional		$1,247.46	$1,443.14	$2,642.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,126.95 / $1,541.15 / $1,672.99	Facility		$1,126.95	$1,541.15	$1,672.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $964.80 / $1,816.16 / $2,135.81	Facility		$964.80	$1,816.16	$2,135.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,408.91 / $1,926.60 / $2,463.82	Professional		$1,408.91	$1,926.60	$2,463.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,039.76 / $15,838.63 / $18,619.91	Facility		$12,039.76	$15,838.63	$18,619.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,530.81 / $2,048.79 / $2,619.35	Professional		$1,530.81	$2,048.79	$2,619.35
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 $1,268.29 / $1,925.19 / $2,648.04	Professional		$1,268.29	$1,925.19	$2,648.04