Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,766.34 / $7,920.26 / $20,400.00	Facility		$1,766.34	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.88 / $856.44 / $2,535.69	Professional		$716.88	$856.44	$2,535.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,072.10 / $1,790.87 / $2,434.85	Professional		$1,072.10	$1,790.87	$2,434.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,275.71 / $1,826.56 / $2,056.53	Professional		$1,275.71	$1,826.56	$2,056.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $856.44 / $1,499.77 / $2,226.07	Facility		$856.44	$1,499.77	$2,226.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,235.43 / $1,397.04 / $2,618.46	Professional		$1,235.43	$1,397.04	$2,618.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,107.08 / $1,507.81 / $1,658.92	Facility		$1,107.08	$1,507.81	$1,658.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $856.44 / $1,754.42 / $2,112.64	Facility		$856.44	$1,754.42	$2,112.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,377.74 / $1,897.74 / $2,434.85	Professional		$1,377.74	$1,897.74	$2,434.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,063.69 / $4,063.69 / $4,063.69	Facility		$4,063.69	$4,063.69	$4,063.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,514.21 / $2,031.56 / $2,597.32	Professional		$1,514.21	$2,031.56	$2,597.32
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 $1,253.15 / $1,909.00 / $2,594.94	Professional		$1,253.15	$1,909.00	$2,594.94