Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.07 / $7,920.26 / $24,742.05	Facility		$845.07	$7,920.26	$24,742.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.63 / $741.08 / $2,271.00	Professional		$485.63	$741.08	$2,271.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.46 / $1,119.07 / $1,499.65	Professional		$687.46	$1,119.07	$1,499.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $800.25 / $1,142.43 / $1,300.51	Professional		$800.25	$1,142.43	$1,300.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $687.05 / $1,007.17 / $1,477.16	Facility		$687.05	$1,007.17	$1,477.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $816.59 / $997.35 / $1,623.27	Professional		$816.59	$997.35	$1,623.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $733.53 / $974.85 / $1,046.54	Facility		$733.53	$974.85	$1,046.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $687.05 / $1,137.89 / $1,408.76	Facility		$687.05	$1,137.89	$1,408.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $889.41 / $1,198.85 / $1,577.96	Professional		$889.41	$1,198.85	$1,577.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,175.85 / $35,294.44 / $42,789.49	Facility		$28,175.85	$35,294.44	$42,789.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $942.23 / $1,239.54 / $1,632.81	Professional		$942.23	$1,239.54	$1,632.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $25,156.00 / $55,640.00	Facility		$3,960.00	$25,156.00	$55,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.77 / $1,110.23 / $1,614.72	Professional		$786.77	$1,110.23	$1,614.72