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 $889.65 / $1,004.50 / $1,101.83	Professional		$889.65	$1,004.50	$1,101.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,295.51 / $1,685.13 / $1,871.58	Professional		$1,295.51	$1,685.13	$1,871.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $719.49 / $1,101.83 / $2,368.96	Facility		$719.49	$1,101.83	$2,368.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $806.68 / $806.68 / $806.68	Professional		$806.68	$806.68	$806.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $618.55 / $2,899.85 / $5,938.29	Facility		$618.55	$2,899.85	$5,938.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $719.49 / $1,101.83 / $2,368.96	Facility		$719.49	$1,101.83	$2,368.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,269.68 / $1,310.53 / $3,805.78	Professional		$1,269.68	$1,310.53	$3,805.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,890.74 / $7,379.02 / $19,565.63	Facility		$5,890.74	$7,379.02	$19,565.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,545.02 / $1,649.01 / $2,545.84	Professional		$1,545.02	$1,649.01	$2,545.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,858.00 / $10,146.00 / $12,113.00	Facility		$2,858.00	$10,146.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,301.84 / $1,886.18 / $2,723.75	Professional		$1,301.84	$1,886.18	$2,723.75