Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.26 / $7,920.26 / $20,400.00	Facility		$1,557.26	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.83 / $1,037.15 / $2,659.76	Professional		$591.83	$1,037.15	$2,659.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $938.52 / $1,559.40 / $2,059.19	Professional		$938.52	$1,559.40	$2,059.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,107.91 / $1,597.84 / $1,821.07	Professional		$1,107.91	$1,597.84	$1,821.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $863.08 / $1,467.92 / $2,229.87	Facility		$863.08	$1,467.92	$2,229.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,077.11 / $1,172.33 / $2,197.27	Professional		$1,077.11	$1,172.33	$2,197.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $953.01 / $1,297.55 / $1,404.88	Facility		$953.01	$1,297.55	$1,404.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,037.15 / $1,684.80 / $5,626.00	Facility		$1,037.15	$1,684.80	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,195.97 / $1,651.80 / $2,070.81	Professional		$1,195.97	$1,651.80	$2,070.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,751.18	Facility		$7,382.73	$9,721.75	$12,751.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,289.09 / $1,718.13 / $2,196.61	Professional		$1,289.09	$1,718.13	$2,196.61
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 $1,034.03 / $1,493.99 / $2,229.94	Professional		$1,034.03	$1,493.99	$2,229.94