Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.95 / $5,649.00 / $15,341.00	Facility		$1,079.95	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.85 / $694.61 / $1,558.24	Professional		$425.85	$694.61	$1,558.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.98 / $1,087.18 / $1,475.07	Professional		$661.98	$1,087.18	$1,475.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $792.83 / $1,146.17 / $1,290.47	Professional		$792.83	$1,146.17	$1,290.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $694.61 / $952.19 / $1,493.41	Facility		$694.61	$952.19	$1,493.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $721.92 / $855.89 / $1,604.18	Professional		$721.92	$855.89	$1,604.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $606.60 / $885.74 / $1,005.00	Facility		$606.60	$885.74	$1,005.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $694.61 / $1,157.57 / $3,274.00	Facility		$694.61	$1,157.57	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $840.42 / $1,152.06 / $1,475.07	Professional		$840.42	$1,152.06	$1,475.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,328.38 / $8,364.56 / $10,637.18	Facility		$5,328.38	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.70 / $1,230.75 / $1,573.50	Professional		$912.70	$1,230.75	$1,573.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $748.90 / $1,020.53 / $1,578.84	Professional		$748.90	$1,020.53	$1,578.84