Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.64 / $7,920.26 / $20,400.00	Facility		$1,409.64	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.64 / $641.96 / $2,021.43	Professional		$439.64	$641.96	$2,021.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.11 / $1,164.89 / $1,754.22	Professional		$739.11	$1,164.89	$1,754.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,028.89 / $1,272.08 / $1,545.70	Professional		$1,028.89	$1,272.08	$1,545.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $712.70 / $920.75 / $1,612.40	Facility		$712.70	$920.75	$1,612.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $961.45 / $1,091.82 / $1,942.74	Professional		$961.45	$1,091.82	$1,942.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $774.29 / $1,137.66 / $1,287.07	Facility		$774.29	$1,137.66	$1,287.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $738.16 / $1,215.96 / $6,437.00	Facility		$738.16	$1,215.96	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $988.53 / $1,227.82 / $1,754.22	Professional		$988.53	$1,227.82	$1,754.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,175.32 / $1,343.78 / $2,036.74	Professional		$1,175.32	$1,343.78	$2,036.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.36 / $1,119.45 / $2,014.18	Professional		$790.36	$1,119.45	$2,014.18