Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $7,920.26 / $20,400.00	Facility		$1,013.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.40 / $684.68 / $2,439.10	Professional		$434.40	$684.68	$2,439.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.48 / $1,032.71 / $1,387.55	Professional		$651.48	$1,032.71	$1,387.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.73 / $1,039.04 / $1,169.84	Professional		$733.73	$1,039.04	$1,169.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $684.68 / $1,015.81 / $1,472.06	Facility		$684.68	$1,015.81	$1,472.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $731.34 / $862.55 / $1,501.26	Professional		$731.34	$862.55	$1,501.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $678.78 / $893.82 / $949.96	Facility		$678.78	$893.82	$949.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $684.68 / $1,126.60 / $1,472.06	Facility		$684.68	$1,126.60	$1,472.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $830.19 / $1,099.25 / $1,396.56	Professional		$830.19	$1,099.25	$1,396.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $16,876.93 / $38,534.69	Facility		$13,624.30	$16,876.93	$38,534.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $863.50 / $1,157.73 / $1,480.14	Professional		$863.50	$1,157.73	$1,480.14
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 $721.24 / $1,047.58 / $1,479.83	Professional		$721.24	$1,047.58	$1,479.83