Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.72 / $5,649.00 / $15,341.00	Facility		$1,435.72	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.23 / $654.08 / $2,060.40	Professional		$429.23	$654.08	$2,060.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.78 / $1,195.08 / $1,882.83	Professional		$758.78	$1,195.08	$1,882.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,050.89 / $1,299.29 / $1,578.31	Professional		$1,050.89	$1,299.29	$1,578.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $721.31 / $975.00 / $1,595.73	Facility		$721.31	$975.00	$1,595.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $945.40 / $1,120.25 / $1,979.34	Professional		$945.40	$1,120.25	$1,979.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $792.16 / $1,095.45 / $1,311.86	Facility		$792.16	$1,095.45	$1,311.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.43 / $1,025.56 / $1,670.72	Facility		$733.43	$1,025.56	$1,670.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,020.55 / $1,255.81 / $1,799.30	Professional		$1,020.55	$1,255.81	$1,799.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,197.47 / $1,366.10 / $2,075.11	Professional		$1,197.47	$1,366.10	$2,075.11
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 $853.82 / $1,167.39 / $1,915.26	Professional		$853.82	$1,167.39	$1,915.26