Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,027.66 / $7,920.26 / $20,400.00	Facility		$1,027.66	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.96 / $954.28 / $2,527.80	Professional		$512.96	$954.28	$2,527.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.66 / $1,201.95 / $1,779.95	Professional		$768.66	$1,201.95	$1,779.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $904.86 / $1,172.90 / $1,499.71	Professional		$904.86	$1,172.90	$1,499.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $701.38 / $1,168.84 / $1,614.15	Facility		$701.38	$1,168.84	$1,614.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $764.49 / $1,030.26 / $1,797.66	Professional		$764.49	$1,030.26	$1,797.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $749.73 / $1,143.57 / $1,249.55	Facility		$749.73	$1,143.57	$1,249.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $701.38 / $1,323.13 / $3,290.00	Facility		$701.38	$1,323.13	$3,290.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $880.64 / $1,214.54 / $1,684.52	Professional		$880.64	$1,214.54	$1,684.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $890.82 / $1,210.88 / $1,733.93	Professional		$890.82	$1,210.88	$1,733.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $943.94 / $1,387.27 / $1,928.83	Professional		$943.94	$1,387.27	$1,928.83