Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.01 / $7,920.26 / $20,400.00	Facility		$1,313.01	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.46 / $892.70 / $1,671.87	Professional		$568.46	$892.70	$1,671.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.30 / $1,427.06 / $1,907.76	Professional		$867.30	$1,427.06	$1,907.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,033.50 / $1,485.36 / $1,677.78	Professional		$1,033.50	$1,485.36	$1,677.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $892.70 / $1,276.56 / $1,919.31	Facility		$892.70	$1,276.56	$1,919.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.41 / $1,367.99 / $2,058.27	Professional		$1,035.41	$1,367.99	$2,058.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $755.39 / $1,197.50 / $1,299.80	Facility		$755.39	$1,197.50	$1,299.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $892.70 / $1,487.68 / $1,919.31	Facility		$892.70	$1,487.68	$1,919.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,106.04 / $1,449.91 / $1,898.48	Professional		$1,106.04	$1,449.91	$1,898.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35,495.44 / $44,586.59 / $52,124.27	Facility		$35,495.44	$44,586.59	$52,124.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,187.61 / $1,591.77 / $2,035.06	Professional		$1,187.61	$1,591.77	$2,035.06
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 $916.98 / $1,312.53 / $2,054.38	Professional		$916.98	$1,312.53	$2,054.38