Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.08 / $7,920.26 / $20,400.00	Facility		$1,219.08	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.08 / $815.07 / $3,191.38	Professional		$629.08	$815.07	$3,191.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.97 / $1,239.35 / $1,704.52	Professional		$812.97	$1,239.35	$1,704.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $882.94 / $1,248.34 / $1,421.08	Professional		$882.94	$1,248.34	$1,421.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $815.07 / $1,175.76 / $1,778.08	Facility		$815.07	$1,175.76	$1,778.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $909.99 / $1,202.29 / $1,808.95	Professional		$909.99	$1,202.29	$1,808.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $867.26 / $1,096.55 / $1,236.13	Facility		$867.26	$1,096.55	$1,236.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $815.07 / $1,451.05 / $7,455.00	Facility		$815.07	$1,451.05	$7,455.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,033.33 / $1,321.32 / $1,762.40	Professional		$1,033.33	$1,321.32	$1,762.40
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 $1,040.01 / $1,368.19 / $1,802.27	Professional		$1,040.01	$1,368.19	$1,802.27
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 $923.10 / $1,297.44 / $1,799.04	Professional		$923.10	$1,297.44	$1,799.04