Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.16 / $2,682.50 / $13,320.00	Facility		$1,167.16	$2,682.50	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.95 / $749.67 / $1,691.60	Professional		$568.95	$749.67	$1,691.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.33 / $1,411.79 / $2,209.37	Professional		$951.33	$1,411.79	$2,209.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,050.47 / $1,515.23 / $1,902.65	Professional		$1,050.47	$1,515.23	$1,902.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $834.46 / $1,139.08 / $1,923.94	Facility		$834.46	$1,139.08	$1,923.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,057.83 / $1,318.34 / $2,102.84	Professional		$1,057.83	$1,318.34	$2,102.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $963.90 / $1,482.30 / $1,688.68	Facility		$963.90	$1,482.30	$1,688.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $834.46 / $1,260.44 / $5,370.75	Facility		$834.46	$1,260.44	$5,370.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,180.67 / $1,516.10 / $2,071.01	Professional		$1,180.67	$1,516.10	$2,071.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,260.49 / $1,631.16 / $2,301.48	Professional		$1,260.49	$1,631.16	$2,301.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.95 / $1,467.54 / $2,361.78	Professional		$1,073.95	$1,467.54	$2,361.78