Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,388.14 / $4,962.67 / $15,341.00	Facility		$1,388.14	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.06 / $715.80 / $1,993.39	Professional		$498.06	$715.80	$1,993.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.38 / $1,275.72 / $1,973.93	Professional		$822.38	$1,275.72	$1,973.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,012.59 / $1,317.80 / $1,614.22	Professional		$1,012.59	$1,317.80	$1,614.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.00 / $985.19 / $1,727.17	Facility		$758.00	$985.19	$1,727.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.81 / $1,190.45 / $2,055.08	Professional		$1,033.81	$1,190.45	$2,055.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $888.53 / $1,279.68 / $1,422.41	Facility		$888.53	$1,279.68	$1,422.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $1,184.69 / $3,005.10	Facility		$796.09	$1,184.69	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,082.70 / $1,353.63 / $1,885.02	Professional		$1,082.70	$1,353.63	$1,885.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,176.56 / $1,487.03 / $2,204.16	Professional		$1,176.56	$1,487.03	$2,204.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $954.10 / $1,319.50 / $2,098.21	Professional		$954.10	$1,319.50	$2,098.21