Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,613.00 / $4,704.00 / $8,728.00	Facility		$1,613.00	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.51 / $908.29 / $1,870.11	Professional		$622.51	$908.29	$1,870.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $943.97 / $1,550.99 / $2,152.62	Professional		$943.97	$1,550.99	$2,152.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,168.57 / $1,674.23 / $1,885.02	Professional		$1,168.57	$1,674.23	$1,885.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $908.29 / $1,391.90 / $1,952.82	Facility		$908.29	$1,391.90	$1,952.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.11 / $1,549.94 / $2,332.01	Professional		$1,173.11	$1,549.94	$2,332.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $879.98 / $1,359.33 / $1,466.63	Facility		$879.98	$1,359.33	$1,466.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $908.29 / $1,826.83 / $1,952.82	Facility		$908.29	$1,826.83	$1,952.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,218.92 / $1,597.97 / $2,103.62	Professional		$1,218.92	$1,597.97	$2,103.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,415.39 / $21,113.06 / $26,382.45	Facility		$16,415.39	$21,113.06	$26,382.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,339.54 / $1,796.07 / $2,296.26	Professional		$1,339.54	$1,796.07	$2,296.26
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 $1,041.98 / $1,477.46 / $2,317.16	Professional		$1,041.98	$1,477.46	$2,317.16