Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $7,943.28	Facility		$1,000.00	$1,445.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $1,621.81	Professional		$436.52	$588.84	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,698.24	Professional		$630.96	$1,047.13	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,548.82	Professional		$707.95	$1,122.02	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $891.25 / $1,949.84	Facility		$489.78	$891.25	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,548.82	Professional		$776.25	$1,047.13	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,288.25	Facility		$870.96	$1,174.90	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $870.96 / $1,348.96	Facility		$537.03	$870.96	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,071.52 / $1,584.89	Professional		$79.43	$1,071.52	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,244.36	Facility		$4,570.88	$5,888.44	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,659.59	Professional		$977.24	$1,258.93	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,912.51	Facility		$1,698.24	$5,754.40	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,584.89	Professional		$645.65	$1,000.00	$1,584.89