Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,770.05 / $9,972.00 / $20,400.00	Facility		$1,770.05	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.82 / $930.98 / $4,173.89	Professional		$800.82	$930.98	$4,173.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.91 / $1,754.80 / $2,368.96	Professional		$1,056.91	$1,754.80	$2,368.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,271.08 / $1,816.85 / $2,045.59	Professional		$1,271.08	$1,816.85	$2,045.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $930.98 / $1,551.48 / $2,249.21	Facility		$930.98	$1,551.48	$2,249.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,234.20 / $1,416.32 / $2,549.51	Professional		$1,234.20	$1,416.32	$2,549.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,097.75 / $1,491.44 / $1,614.03	Facility		$1,097.75	$1,491.44	$1,614.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $930.98 / $1,728.40 / $2,062.87	Facility		$930.98	$1,728.40	$2,062.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,359.30 / $1,871.81 / $2,378.04	Professional		$1,359.30	$1,871.81	$2,378.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,303.22 / $4,303.22 / $4,303.22	Facility		$4,303.22	$4,303.22	$4,303.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,478.53 / $1,976.58 / $2,527.04	Professional		$1,478.53	$1,976.58	$2,527.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,177.58 / $1,795.34 / $2,557.62	Professional		$1,177.58	$1,795.34	$2,557.62