Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,097.60 / $12,274.80 / $21,735.00	Facility		$1,097.60	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.76 / $2,673.21 / $12,569.90	Professional		$456.76	$2,673.21	$12,569.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.75 / $5,040.63 / $14,798.70	Professional		$793.75	$5,040.63	$14,798.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $931.62 / $1,368.76 / $12,784.44	Professional		$931.62	$1,368.76	$12,784.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $673.10 / $4,824.10 / $16,629.88	Facility		$673.10	$4,824.10	$16,629.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $795.78 / $8,092.76 / $16,087.42	Professional		$795.78	$8,092.76	$16,087.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $969.49 / $9,992.28 / $12,820.45	Facility		$969.49	$9,992.28	$12,820.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $673.10 / $9,004.23 / $16,629.88	Facility		$673.10	$9,004.23	$16,629.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $951.68 / $7,715.04 / $16,846.68	Professional		$951.68	$7,715.04	$16,846.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,928.40 / $58,697.58 / $69,447.28	Facility		$44,928.40	$58,697.58	$69,447.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $962.68 / $1,713.32 / $15,497.31	Professional		$962.68	$1,713.32	$15,497.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $37,152.00 / $65,339.00	Facility		$4,252.00	$37,152.00	$65,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $9,264.67 / $12,716.23 / $17,435.72	Professional		$9,264.67	$12,716.23	$17,435.72