Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,338.46 / $30,593.00	Facility		$2,747.00	$9,338.46	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $616.94 / $833.19	Professional		$412.89	$616.94	$833.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $4,375.60	Facility		$4,375.60	$4,375.60	$4,375.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.00 / $1,299.19 / $1,710.17	Professional		$595.00	$1,299.19	$1,710.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $864.95 / $1,226.65 / $1,544.08	Professional		$864.95	$1,226.65	$1,544.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $717.67 / $841.95 / $1,791.36	Facility		$717.67	$841.95	$1,791.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $547.96 / $769.06 / $995.79	Facility		$547.96	$769.06	$995.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $669.32 / $833.19 / $1,791.36	Facility		$669.32	$833.19	$1,791.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $770.15 / $1,289.02 / $1,705.18	Professional		$770.15	$1,289.02	$1,705.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $18,659.50 / $38,534.69	Facility		$13,624.30	$18,659.50	$38,534.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,059.70 / $1,353.39 / $1,632.54	Professional		$1,059.70	$1,353.39	$1,632.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $721.21 / $1,126.18 / $1,584.39	Professional		$721.21	$1,126.18	$1,584.39