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 $443.06 / $477.54 / $556.80	Professional		$443.06	$477.54	$556.80
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 $943.27 / $1,098.70 / $1,318.04	Professional		$943.27	$1,098.70	$1,318.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $528.97 / $556.80 / $973.40	Facility		$528.97	$556.80	$973.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $844.05 / $6,822.71 / $9,393.79	Facility		$844.05	$6,822.71	$9,393.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $556.80 / $556.80 / $972.84	Facility		$556.80	$556.80	$972.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.49 / $655.49 / $1,055.07	Professional		$655.49	$655.49	$1,055.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,248.31	Facility		$16,860.72	$22,602.85	$28,248.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $783.55 / $1,170.77 / $1,542.21	Professional		$783.55	$1,170.77	$1,542.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.52 / $1,013.59 / $1,499.10	Professional		$709.52	$1,013.59	$1,499.10