Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,932.45 / $7,920.26 / $20,400.00	Facility		$1,932.45	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.27 / $986.86 / $4,149.00	Professional		$794.27	$986.86	$4,149.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.57 / $1,971.94 / $2,675.78	Professional		$1,232.57	$1,971.94	$2,675.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,394.65 / $1,977.60 / $2,226.58	Professional		$1,394.65	$1,977.60	$2,226.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $938.26 / $1,639.44 / $2,575.94	Facility		$938.26	$1,639.44	$2,575.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.09 / $1,576.96 / $2,884.76	Professional		$1,407.09	$1,576.96	$2,884.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,327.10 / $1,698.94 / $1,848.69	Facility		$1,327.10	$1,698.94	$1,848.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $938.26 / $1,942.28 / $2,327.17	Facility		$938.26	$1,942.28	$2,327.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,549.61 / $2,090.94 / $2,675.78	Professional		$1,549.61	$2,090.94	$2,675.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,667.96 / $2,232.58 / $2,854.33	Professional		$1,667.96	$2,232.58	$2,854.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.40 / $2,097.88 / $2,885.29	Professional		$1,380.40	$2,097.88	$2,885.29