Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.87 / $2,747.00 / $15,341.00	Facility		$804.87	$2,747.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.98 / $602.99 / $1,170.63	Professional		$351.98	$602.99	$1,170.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.21 / $1,076.14 / $1,726.55	Professional		$642.21	$1,076.14	$1,726.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $656.82 / $971.63 / $1,499.66	Professional		$656.82	$971.63	$1,499.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $540.99 / $927.38 / $1,583.75	Facility		$540.99	$927.38	$1,583.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $665.54 / $1,065.14 / $1,365.51	Professional		$665.54	$1,065.14	$1,365.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $810.03 / $1,355.41 / $2,134.04	Facility		$810.03	$1,355.41	$2,134.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $567.22 / $997.85 / $2,251.33	Facility		$567.22	$997.85	$2,251.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $774.18 / $1,148.80 / $1,646.51	Professional		$774.18	$1,148.80	$1,646.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $799.54 / $1,202.39 / $1,852.36	Professional		$799.54	$1,202.39	$1,852.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $3,758.00 / $10,749.25	Facility		$1,106.00	$3,758.00	$10,749.25
United Facility/Professional Professional Modifier Low / Median / High Price $908.97 / $1,274.30 / $1,998.97	Professional		$908.97	$1,274.30	$1,998.97