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 $342.95 / $515.48 / $1,479.41	Professional		$342.95	$515.48	$1,479.41
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 $872.87 / $1,083.27 / $1,352.34	Professional		$872.87	$1,083.27	$1,352.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $430.74 / $452.28 / $926.09	Facility		$430.74	$452.28	$926.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $2,244.56 / $2,979.42	Facility		$748.00	$2,244.56	$2,979.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $430.74 / $443.66 / $926.09	Facility		$430.74	$443.66	$926.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $507.36 / $507.36 / $1,082.51	Professional		$507.36	$507.36	$1,082.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,819.39	Facility		$7,715.78	$10,171.54	$12,819.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $641.14 / $1,013.87 / $1,355.50	Professional		$641.14	$1,013.87	$1,355.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.20 / $772.79 / $1,262.41	Professional		$571.20	$772.79	$1,262.41