Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.39 / $8,878.56 / $20,400.00	Facility		$1,039.39	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.71 / $638.99 / $2,473.32	Professional		$472.71	$638.99	$2,473.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.19 / $1,010.44 / $1,417.05	Professional		$627.19	$1,010.44	$1,417.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.33 / $1,083.93 / $1,233.91	Professional		$756.33	$1,083.93	$1,233.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $638.99 / $945.88 / $1,407.84	Facility		$638.99	$945.88	$1,407.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $772.83 / $1,000.30 / $1,536.29	Professional		$772.83	$1,000.30	$1,536.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $692.84 / $921.34 / $976.86	Facility		$692.84	$921.34	$976.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $638.99 / $1,207.00 / $7,875.00	Facility		$638.99	$1,207.00	$7,875.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $810.18 / $1,115.40 / $1,469.33	Professional		$810.18	$1,115.40	$1,469.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $880.73 / $1,158.63 / $1,526.23	Professional		$880.73	$1,158.63	$1,526.23
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 $720.72 / $1,056.23 / $1,523.49	Professional		$720.72	$1,056.23	$1,523.49