Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.03 / $5,649.00 / $15,341.00	Facility		$1,167.03	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.40 / $792.01 / $1,903.11	Professional		$456.40	$792.01	$1,903.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.52 / $1,150.04 / $1,538.01	Professional		$655.52	$1,150.04	$1,538.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $834.18 / $1,202.49 / $1,373.19	Professional		$834.18	$1,202.49	$1,373.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $609.49 / $1,034.94 / $1,702.82	Facility		$609.49	$1,034.94	$1,702.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $754.97 / $874.74 / $1,650.86	Professional		$754.97	$874.74	$1,650.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $664.25 / $918.57 / $1,047.88	Facility		$664.25	$918.57	$1,047.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $792.01 / $1,200.20 / $3,274.00	Facility		$792.01	$1,200.20	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $841.15 / $1,217.14 / $1,538.01	Professional		$841.15	$1,217.14	$1,538.01
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 $964.98 / $1,283.26 / $1,640.64	Professional		$964.98	$1,283.26	$1,640.64
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 $751.54 / $1,174.81 / $1,653.73	Professional		$751.54	$1,174.81	$1,653.73