Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,796.72 / $10,180.24 / $20,400.00	Facility		$1,796.72	$10,180.24	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.88 / $946.50 / $4,276.18	Professional		$828.88	$946.50	$4,276.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.70 / $1,848.62 / $2,408.30	Professional		$1,096.70	$1,848.62	$2,408.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,293.33 / $1,845.63 / $2,078.00	Professional		$1,293.33	$1,845.63	$2,078.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $946.50 / $1,476.07 / $2,075.69	Facility		$946.50	$1,476.07	$2,075.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,306.01 / $1,622.21 / $2,596.19	Professional		$1,306.01	$1,622.21	$2,596.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,074.39 / $1,556.41 / $1,640.83	Facility		$1,074.39	$1,556.41	$1,640.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $946.50 / $1,935.56 / $2,094.62	Facility		$946.50	$1,935.56	$2,094.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,397.54 / $1,931.96 / $2,414.94	Professional		$1,397.54	$1,931.96	$2,414.94
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 $1,501.29 / $2,009.40 / $2,569.00	Professional		$1,501.29	$2,009.40	$2,569.00
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 $1,242.47 / $1,748.77 / $2,596.98	Professional		$1,242.47	$1,748.77	$2,596.98