Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.63 / $7,920.26 / $20,400.00	Facility		$1,147.63	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.33 / $575.21 / $1,655.19	Professional		$406.33	$575.21	$1,655.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.49 / $1,056.14 / $1,580.64	Professional		$664.49	$1,056.14	$1,580.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $832.71 / $1,105.24 / $1,360.30	Professional		$832.71	$1,105.24	$1,360.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $620.41 / $825.76 / $1,434.68	Facility		$620.41	$825.76	$1,434.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $824.06 / $952.95 / $1,638.13	Professional		$824.06	$952.95	$1,638.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $760.96 / $1,077.96 / $1,168.48	Facility		$760.96	$1,077.96	$1,168.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $631.09 / $938.69 / $5,217.00	Facility		$631.09	$938.69	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $877.95 / $1,091.25 / $1,520.90	Professional		$877.95	$1,091.25	$1,520.90
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 $940.38 / $1,189.17 / $1,761.71	Professional		$940.38	$1,189.17	$1,761.71
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 $658.00 / $1,054.94 / $1,677.52	Professional		$658.00	$1,054.94	$1,677.52