Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,613.03 / $9,972.00 / $20,400.00	Facility		$1,613.03	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.16 / $850.28 / $3,843.51	Professional		$732.16	$850.28	$3,843.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $986.09 / $1,603.17 / $2,163.42	Professional		$986.09	$1,603.17	$2,163.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,160.28 / $1,653.48 / $1,861.65	Professional		$1,160.28	$1,653.48	$1,861.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $850.28 / $1,416.99 / $2,048.35	Facility		$850.28	$1,416.99	$2,048.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.51 / $1,321.22 / $2,329.88	Professional		$1,122.51	$1,321.22	$2,329.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,008.73 / $1,386.90 / $1,474.00	Facility		$1,008.73	$1,386.90	$1,474.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $850.28 / $1,748.93 / $7,952.00	Facility		$850.28	$1,748.93	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,256.58 / $1,724.11 / $2,172.56	Professional		$1,256.58	$1,724.11	$2,172.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.15 / $1,805.10 / $2,307.80	Professional		$1,348.15	$1,805.10	$2,307.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,129.43 / $1,573.75 / $2,310.38	Professional		$1,129.43	$1,573.75	$2,310.38