Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.40 / $7,920.26 / $20,400.00	Facility		$1,229.40	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.66 / $744.11 / $2,942.83	Professional		$613.66	$744.11	$2,942.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.59 / $1,251.18 / $1,688.46	Professional		$762.59	$1,251.18	$1,688.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.32 / $1,260.08 / $1,434.44	Professional		$891.32	$1,260.08	$1,434.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $744.11 / $1,160.44 / $1,779.00	Facility		$744.11	$1,160.44	$1,779.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $918.52 / $1,191.91 / $1,825.91	Professional		$918.52	$1,191.91	$1,825.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $825.59 / $1,103.70 / $1,293.50	Facility		$825.59	$1,103.70	$1,293.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $744.11 / $1,464.78 / $7,455.00	Facility		$744.11	$1,464.78	$7,455.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $996.24 / $1,333.80 / $1,757.03	Professional		$996.24	$1,333.80	$1,757.03
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 $1,049.84 / $1,381.13 / $1,819.32	Professional		$1,049.84	$1,381.13	$1,819.32
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 $876.20 / $1,323.81 / $1,799.16	Professional		$876.20	$1,323.81	$1,799.16