Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $4,283.46 / $8,728.00	Facility		$988.00	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.93 / $579.85 / $1,372.04	Professional		$436.93	$579.85	$1,372.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.55 / $1,126.93 / $1,737.39	Professional		$765.55	$1,126.93	$1,737.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $854.05 / $1,218.25 / $1,499.39	Professional		$854.05	$1,218.25	$1,499.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $649.79 / $957.29 / $1,543.80	Facility		$649.79	$957.29	$1,543.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $853.41 / $1,052.70 / $1,696.48	Professional		$853.41	$1,052.70	$1,696.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $732.80 / $1,187.31 / $1,284.39	Facility		$732.80	$1,187.31	$1,284.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $649.79 / $1,041.93 / $1,622.67	Facility		$649.79	$1,041.93	$1,622.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $946.86 / $1,186.49 / $1,631.28	Professional		$946.86	$1,186.49	$1,631.28
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 $961.30 / $1,299.73 / $1,800.89	Professional		$961.30	$1,299.73	$1,800.89
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 $852.58 / $1,197.25 / $1,874.96	Professional		$852.58	$1,197.25	$1,874.96