Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.64 / $5,116.62 / $15,341.00	Facility		$1,354.64	$5,116.62	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.00 / $914.73 / $3,097.66	Professional		$533.00	$914.73	$3,097.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.31 / $1,331.56 / $1,795.65	Professional		$775.31	$1,331.56	$1,795.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $967.65 / $1,393.84 / $1,584.01	Professional		$967.65	$1,393.84	$1,584.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $811.62 / $1,220.42 / $1,966.67	Facility		$811.62	$1,220.42	$1,966.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $884.85 / $1,025.15 / $1,921.42	Professional		$884.85	$1,025.15	$1,921.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $790.22 / $1,092.77 / $1,223.42	Facility		$790.22	$1,092.77	$1,223.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $914.73 / $1,412.70 / $3,274.00	Facility		$914.73	$1,412.70	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $997.26 / $1,423.25 / $1,795.65	Professional		$997.26	$1,423.25	$1,795.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,123.66 / $1,498.23 / $1,915.47	Professional		$1,123.66	$1,498.23	$1,915.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $11,821.33 / $26,404.00	Facility		$2,155.00	$11,821.33	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $888.81 / $1,407.84 / $1,943.75	Professional		$888.81	$1,407.84	$1,943.75