Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,338.46 / $30,593.00	Facility		$2,747.00	$9,338.46	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.16 / $911.50 / $999.85	Professional		$544.16	$911.50	$999.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $3,250.41	Facility		$1,487.79	$1,487.79	$3,250.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,463.14 / $1,921.26 / $2,379.01	Professional		$1,463.14	$1,921.26	$2,379.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $262.02 / $999.85 / $1,803.05	Facility		$262.02	$999.85	$1,803.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.69 / $212.69 / $2,453.75	Professional		$212.69	$212.69	$2,453.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $632.10 / $1,258.86 / $1,924.73	Facility		$632.10	$1,258.86	$1,924.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.12 / $999.85 / $1,891.22	Facility		$245.12	$999.85	$1,891.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.86 / $926.18 / $1,598.16	Professional		$202.86	$926.18	$1,598.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,580.28 / $6,234.89 / $7,536.06	Facility		$4,580.28	$6,234.89	$7,536.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,421.98 / $2,166.67 / $2,605.00	Professional		$1,421.98	$2,166.67	$2,605.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.50 / $1,837.50 / $2,767.81	Professional		$1,312.50	$1,837.50	$2,767.81