Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.33 / $8,878.56 / $20,400.00	Facility		$1,073.33	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.87 / $693.28 / $2,751.15	Professional		$496.87	$693.28	$2,751.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.57 / $1,035.53 / $1,463.27	Professional		$685.57	$1,035.53	$1,463.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $778.57 / $1,108.85 / $1,262.29	Professional		$778.57	$1,108.85	$1,262.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $480.87 / $979.88 / $1,490.55	Facility		$480.87	$979.88	$1,490.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $796.31 / $1,134.13 / $1,582.96	Professional		$796.31	$1,134.13	$1,582.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $621.09 / $948.43 / $1,035.15	Facility		$621.09	$948.43	$1,035.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.87 / $1,081.17 / $1,490.55	Facility		$480.87	$1,081.17	$1,490.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $904.80 / $1,183.20 / $1,523.37	Professional		$904.80	$1,183.20	$1,523.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $12,623.94	Facility		$7,811.13	$10,179.44	$12,623.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $909.63 / $1,196.66 / $1,576.32	Professional		$909.63	$1,196.66	$1,576.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.39 / $1,134.76 / $1,573.50	Professional		$803.39	$1,134.76	$1,573.50