Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,750.47 / $9,972.00 / $20,400.00	Facility		$1,750.47	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.82 / $922.88 / $4,174.72	Professional		$794.82	$922.88	$4,174.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.82 / $1,737.13 / $2,347.33	Professional		$1,071.82	$1,737.13	$2,347.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.97 / $1,793.86 / $2,019.71	Professional		$1,258.97	$1,793.86	$2,019.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $922.88 / $1,541.65 / $2,225.14	Facility		$922.88	$1,541.65	$2,225.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.41 / $1,404.80 / $2,528.29	Professional		$1,219.41	$1,404.80	$2,528.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,097.88 / $1,509.30 / $1,599.29	Facility		$1,097.88	$1,509.30	$1,599.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $922.88 / $1,895.08 / $7,952.00	Facility		$922.88	$1,895.08	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,365.83 / $1,872.74 / $2,354.10	Professional		$1,365.83	$1,872.74	$2,354.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $38,534.69	Facility		$13,624.30	$17,810.43	$38,534.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,463.15 / $1,958.53 / $2,503.96	Professional		$1,463.15	$1,958.53	$2,503.96
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 $1,210.91 / $1,745.00 / $2,531.03	Professional		$1,210.91	$1,745.00	$2,531.03