Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.29 / $4,962.67 / $15,341.00	Facility		$1,210.29	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.95 / $720.28 / $1,590.92	Professional		$532.95	$720.28	$1,590.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.84 / $1,332.49 / $2,122.23	Professional		$894.84	$1,332.49	$2,122.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $985.07 / $1,417.65 / $1,809.11	Professional		$985.07	$1,417.65	$1,809.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $786.03 / $1,097.24 / $1,828.73	Facility		$786.03	$1,097.24	$1,828.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $984.70 / $1,239.30 / $1,957.47	Professional		$984.70	$1,239.30	$1,957.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $940.50 / $1,410.50 / $1,555.07	Facility		$940.50	$1,410.50	$1,555.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $786.03 / $1,214.13 / $3,005.10	Facility		$786.03	$1,214.13	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,102.28 / $1,436.41 / $1,963.57	Professional		$1,102.28	$1,436.41	$1,963.57
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 $1,174.38 / $1,545.42 / $2,182.09	Professional		$1,174.38	$1,545.42	$2,182.09
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 $1,012.11 / $1,414.85 / $2,271.85	Professional		$1,012.11	$1,414.85	$2,271.85