Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,816.96 / $9,972.00 / $20,400.00	Facility		$1,816.96	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.10 / $956.47 / $4,290.82	Professional		$814.10	$956.47	$4,290.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.78 / $1,802.64 / $2,433.86	Professional		$1,086.78	$1,802.64	$2,433.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,305.71 / $1,865.65 / $2,100.53	Professional		$1,305.71	$1,865.65	$2,100.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $956.47 / $1,593.96 / $2,253.84	Facility		$956.47	$1,593.96	$2,253.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,251.09 / $1,438.80 / $2,619.54	Professional		$1,251.09	$1,438.80	$2,619.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,110.96 / $1,518.12 / $1,658.25	Facility		$1,110.96	$1,518.12	$1,658.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $956.47 / $1,775.53 / $2,116.92	Facility		$956.47	$1,775.53	$2,116.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,396.24 / $1,910.22 / $2,442.88	Professional		$1,396.24	$1,910.22	$2,442.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,134.66 / $8,924.50 / $21,189.66	Facility		$4,134.66	$8,924.50	$21,189.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,517.28 / $2,030.74 / $2,596.28	Professional		$1,517.28	$2,030.74	$2,596.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,234.49 / $1,766.04 / $2,624.65	Professional		$1,234.49	$1,766.04	$2,624.65