Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.58 / $8,878.56 / $20,400.00	Facility		$1,201.58	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.58 / $801.96 / $2,844.97	Professional		$504.58	$801.96	$2,844.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.83 / $1,182.86 / $1,602.91	Professional		$745.83	$1,182.86	$1,602.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $867.00 / $1,235.35 / $1,390.90	Professional		$867.00	$1,235.35	$1,390.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $801.96 / $1,180.18 / $1,724.21	Facility		$801.96	$1,180.18	$1,724.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $836.91 / $990.72 / $1,733.61	Professional		$836.91	$990.72	$1,733.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $769.39 / $1,047.34 / $1,092.76	Facility		$769.39	$1,047.34	$1,092.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $801.96 / $1,341.36 / $6,365.00	Facility		$801.96	$1,341.36	$6,365.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $950.43 / $1,271.21 / $1,602.98	Professional		$950.43	$1,271.21	$1,602.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,198.09 / $20,033.77 / $25,621.76	Facility		$15,198.09	$20,033.77	$25,621.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $998.81 / $1,337.42 / $1,709.87	Professional		$998.81	$1,337.42	$1,709.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $826.62 / $1,215.25 / $1,727.78	Professional		$826.62	$1,215.25	$1,727.78