Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $8,369.76 / $30,593.00	Facility		$1,758.00	$8,369.76	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.12 / $589.54 / $613.76	Professional		$469.12	$589.54	$613.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $997.82 / $1,162.21 / $1,394.24	Professional		$997.82	$1,162.21	$1,394.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $589.54 / $607.23 / $1,029.39	Facility		$589.54	$607.23	$1,029.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92,699.07 / $92,699.07 / $92,699.07	Professional		$92,699.07	$92,699.07	$92,699.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $892.89 / $7,493.76 / $9,940.58	Facility		$892.89	$7,493.76	$9,940.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $589.54 / $589.54 / $1,028.94	Facility		$589.54	$589.54	$1,028.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $694.00 / $694.00 / $1,116.11	Professional		$694.00	$694.00	$1,116.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $829.04 / $1,238.73 / $1,631.74	Professional		$829.04	$1,238.73	$1,631.74
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 $766.49 / $1,073.08 / $1,613.67	Professional		$766.49	$1,073.08	$1,613.67