Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,766.53 / $8,878.56 / $20,400.00	Facility		$1,766.53	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.44 / $856.72 / $4,139.67	Professional		$785.44	$856.72	$4,139.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,073.20 / $1,792.34 / $2,435.83	Professional		$1,073.20	$1,792.34	$2,435.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,275.93 / $1,826.29 / $2,056.21	Professional		$1,275.93	$1,826.29	$2,056.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $856.72 / $1,501.62 / $2,227.92	Facility		$856.72	$1,501.62	$2,227.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,239.50 / $1,403.82 / $2,619.54	Professional		$1,239.50	$1,403.82	$2,619.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,074.95 / $1,509.12 / $1,659.59	Facility		$1,074.95	$1,509.12	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $856.72 / $1,755.56 / $2,112.64	Facility		$856.72	$1,755.56	$2,112.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,377.93 / $1,899.30 / $2,435.83	Professional		$1,377.93	$1,899.30	$2,435.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,076.08 / $4,076.08 / $4,076.08	Facility		$4,076.08	$4,076.08	$4,076.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,514.21 / $2,032.38 / $2,598.37	Professional		$1,514.21	$2,032.38	$2,598.37
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 $1,246.57 / $1,751.05 / $2,619.31	Professional		$1,246.57	$1,751.05	$2,619.31