Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,437.04 / $6,407.01 / $13,320.00	Facility		$1,437.04	$6,407.01	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.87 / $813.92 / $1,682.38	Professional		$564.87	$813.92	$1,682.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.00 / $1,405.17 / $2,190.73	Professional		$954.00	$1,405.17	$2,190.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,050.06 / $1,498.62 / $1,844.45	Professional		$1,050.06	$1,498.62	$1,844.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $802.83 / $1,126.79 / $1,937.22	Facility		$802.83	$1,126.79	$1,937.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.68 / $1,300.48 / $2,082.67	Professional		$1,047.68	$1,300.48	$2,082.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $952.48 / $1,462.09 / $1,573.83	Facility		$952.48	$1,462.09	$1,573.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $844.51 / $1,241.66 / $5,370.75	Facility		$844.51	$1,241.66	$5,370.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,177.93 / $1,486.31 / $2,005.12	Professional		$1,177.93	$1,486.31	$2,005.12
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 $1,249.48 / $1,592.62 / $2,223.75	Professional		$1,249.48	$1,592.62	$2,223.75
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 $994.49 / $1,478.75 / $2,351.44	Professional		$994.49	$1,478.75	$2,351.44