Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.72 / $5,553.18 / $13,320.00	Facility		$656.72	$5,553.18	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.73 / $1,566.47 / $3,971.90	Professional		$328.73	$1,566.47	$3,971.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.63 / $1,407.17 / $4,053.87	Professional		$540.63	$1,407.17	$4,053.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.37 / $930.57 / $3,560.31	Professional		$633.37	$930.57	$3,560.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.28 / $1,356.84 / $4,652.99	Facility		$456.28	$1,356.84	$4,652.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $541.17 / $2,284.31 / $4,540.93	Professional		$541.17	$2,284.31	$4,540.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $687.42 / $2,810.44 / $3,190.54	Facility		$687.42	$2,810.44	$3,190.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.28 / $2,294.75 / $4,652.99	Facility		$456.28	$2,294.75	$4,652.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $649.60 / $1,899.10 / $4,390.41	Professional		$649.60	$1,899.10	$4,390.41
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 $653.23 / $1,162.57 / $4,278.91	Professional		$653.23	$1,162.57	$4,278.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $11,821.33 / $26,404.00	Facility		$2,155.00	$11,821.33	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,389.77 / $3,156.30 / $4,759.88	Professional		$2,389.77	$3,156.30	$4,759.88