Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.82 / $4,962.67 / $15,341.00	Facility		$1,020.82	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.19 / $517.66 / $1,554.29	Professional		$341.19	$517.66	$1,554.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.60 / $1,007.18 / $1,586.38	Professional		$645.60	$1,007.18	$1,586.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.32 / $1,071.26 / $1,372.37	Professional		$742.32	$1,071.26	$1,372.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.01 / $852.93 / $1,348.75	Facility		$562.01	$852.93	$1,348.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $744.53 / $942.55 / $1,480.03	Professional		$744.53	$942.55	$1,480.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $568.62 / $970.11 / $1,183.89	Facility		$568.62	$970.11	$1,183.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.01 / $901.11 / $2,035.88	Facility		$562.01	$901.11	$2,035.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $816.64 / $1,101.11 / $1,494.88	Professional		$816.64	$1,101.11	$1,494.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,985.16 / $2,351.11	Facility		$1,400.90	$1,985.16	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $849.97 / $1,171.70 / $1,688.45	Professional		$849.97	$1,171.70	$1,688.45
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.53 / $1,088.08 / $1,733.34	Professional		$770.53	$1,088.08	$1,733.34