Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,864.22 / $9,972.00 / $20,400.00	Facility		$1,864.22	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.61 / $994.39 / $4,400.08	Professional		$977.61	$994.39	$4,400.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.51 / $1,919.91 / $2,498.77	Professional		$1,115.51	$1,919.91	$2,498.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,340.53 / $1,914.70 / $2,155.75	Professional		$1,340.53	$1,914.70	$2,155.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $980.67 / $1,821.20 / $2,730.52	Facility		$980.67	$1,821.20	$2,730.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.97 / $1,638.00 / $2,689.53	Professional		$1,352.97	$1,638.00	$2,689.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,143.29 / $1,632.12 / $1,905.48	Facility		$1,143.29	$1,632.12	$1,905.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $980.67 / $1,989.85 / $2,367.63	Facility		$980.67	$1,989.85	$2,367.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,433.29 / $2,004.58 / $2,505.71	Professional		$1,433.29	$2,004.58	$2,505.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $31,052.21 / $38,534.69	Facility		$23,713.19	$31,052.21	$38,534.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,557.26 / $2,084.89 / $2,665.51	Professional		$1,557.26	$2,084.89	$2,665.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $24,872.00	Facility		$3,028.00	$20,708.00	$24,872.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,291.08 / $1,987.77 / $2,693.78	Professional		$1,291.08	$1,987.77	$2,693.78