Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,711.72 / $7,920.26 / $20,400.00	Facility		$1,711.72	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.34 / $836.06 / $2,079.69	Professional		$693.34	$836.06	$2,079.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,039.47 / $1,738.61 / $2,362.08	Professional		$1,039.47	$1,738.61	$2,362.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,237.90 / $1,772.44 / $1,995.59	Professional		$1,237.90	$1,772.44	$1,995.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.05 / $1,450.71 / $2,156.65	Facility		$831.05	$1,450.71	$2,156.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,184.22 / $1,358.94 / $2,541.02	Professional		$1,184.22	$1,358.94	$2,541.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,011.41 / $1,461.96 / $1,609.34	Facility		$1,011.41	$1,461.96	$1,609.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.05 / $1,712.45 / $2,050.00	Facility		$831.05	$1,712.45	$2,050.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,336.95 / $1,842.36 / $2,362.08	Professional		$1,336.95	$1,842.36	$2,362.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,469.31 / $1,970.84 / $2,519.69	Professional		$1,469.31	$1,970.84	$2,519.69
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 $1,185.08 / $1,688.63 / $2,541.67	Professional		$1,185.08	$1,688.63	$2,541.67