Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,385.26 / $7,920.26 / $20,400.00	Facility		$1,385.26	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $921.94 / $1,628.68 / $5,811.51	Professional		$921.94	$1,628.68	$5,811.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.17 / $1,614.52 / $2,658.42	Professional		$1,198.17	$1,614.52	$2,658.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $900.89 / $1,295.56 / $1,465.59	Professional		$900.89	$1,295.56	$1,465.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,133.83 / $2,224.84 / $3,184.99	Facility		$1,133.83	$2,224.84	$3,184.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $901.99 / $1,741.65 / $1,959.82	Professional		$901.99	$1,741.65	$1,959.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $928.11 / $1,571.72 / $2,229.71	Facility		$928.11	$1,571.72	$2,229.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,444.18 / $2,234.57 / $9,999.15	Facility		$1,444.18	$2,234.57	$9,999.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,093.95 / $1,548.12 / $2,452.30	Professional		$1,093.95	$1,548.12	$2,452.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,035.08 / $1,389.16 / $1,852.35	Professional		$1,035.08	$1,389.16	$1,852.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.36 / $1,959.82 / $2,813.28	Professional		$1,427.36	$1,959.82	$2,813.28