Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.08 / $5,649.00 / $15,341.00	Facility		$1,104.08	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.44 / $749.11 / $2,478.00	Professional		$424.44	$749.11	$2,478.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.52 / $1,091.45 / $1,454.42	Professional		$612.52	$1,091.45	$1,454.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $790.78 / $1,137.08 / $1,301.74	Professional		$790.78	$1,137.08	$1,301.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $559.91 / $959.04 / $1,610.59	Facility		$559.91	$959.04	$1,610.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $712.28 / $809.48 / $1,557.51	Professional		$712.28	$809.48	$1,557.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $601.60 / $857.60 / $990.93	Facility		$601.60	$857.60	$990.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $749.11 / $1,096.74 / $3,274.00	Facility		$749.11	$1,096.74	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $791.52 / $1,148.94 / $1,454.42	Professional		$791.52	$1,148.94	$1,454.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,494.80 / $5,709.03	Facility		$3,539.74	$4,494.80	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.70 / $1,213.52 / $1,551.47	Professional		$912.70	$1,213.52	$1,551.47
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 $703.31 / $967.18 / $1,578.84	Professional		$703.31	$967.18	$1,578.84