Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.46 / $4,962.67 / $15,341.00	Facility		$1,316.46	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.55 / $616.14 / $1,894.70	Professional		$450.55	$616.14	$1,894.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.01 / $1,244.38 / $1,937.68	Professional		$780.01	$1,244.38	$1,937.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $964.04 / $1,366.19 / $1,681.47	Professional		$964.04	$1,366.19	$1,681.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $728.53 / $1,031.79 / $1,616.76	Facility		$728.53	$1,031.79	$1,616.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $968.70 / $1,157.64 / $1,925.66	Professional		$968.70	$1,157.64	$1,925.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.57 / $1,248.65 / $1,451.22	Facility		$891.57	$1,248.65	$1,451.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $752.78 / $1,168.38 / $3,005.10	Facility		$752.78	$1,168.38	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,021.44 / $1,357.02 / $1,835.69	Professional		$1,021.44	$1,357.02	$1,835.69
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 $1,154.96 / $1,465.80 / $2,055.52	Professional		$1,154.96	$1,465.80	$2,055.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $944.52 / $1,340.95 / $2,132.32	Professional		$944.52	$1,340.95	$2,132.32