Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.40 / $7,920.26 / $20,400.00	Facility		$1,201.40	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.04 / $822.66 / $2,805.73	Professional		$505.04	$822.66	$2,805.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.82 / $1,194.55 / $1,594.06	Professional		$732.82	$1,194.55	$1,594.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $864.57 / $1,246.89 / $1,421.22	Professional		$864.57	$1,246.89	$1,421.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $717.67 / $1,143.01 / $1,768.72	Facility		$717.67	$1,143.01	$1,768.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $835.38 / $919.20 / $1,714.52	Professional		$835.38	$919.20	$1,714.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $742.25 / $1,013.04 / $1,086.07	Facility		$742.25	$1,013.04	$1,086.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $822.66 / $1,313.01 / $5,626.00	Facility		$822.66	$1,313.01	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.84 / $1,266.40 / $1,600.99	Professional		$933.84	$1,266.40	$1,600.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $994.51 / $1,330.03 / $1,700.43	Professional		$994.51	$1,330.03	$1,700.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.23 / $1,161.06 / $1,720.34	Professional		$786.23	$1,161.06	$1,720.34