Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.55 / $4,704.00 / $8,728.00	Facility		$1,063.55	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.13 / $632.21 / $2,572.67	Professional		$491.13	$632.21	$2,572.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.71 / $1,047.08 / $1,422.95	Professional		$679.71	$1,047.08	$1,422.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $774.15 / $1,096.66 / $1,234.73	Professional		$774.15	$1,096.66	$1,234.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $632.21 / $991.61 / $1,359.25	Facility		$632.21	$991.61	$1,359.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $721.65 / $879.16 / $1,542.65	Professional		$721.65	$879.16	$1,542.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $692.35 / $935.99 / $969.49	Facility		$692.35	$935.99	$969.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $632.21 / $1,085.70 / $1,359.25	Facility		$632.21	$1,085.70	$1,359.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $858.60 / $1,129.47 / $1,422.95	Professional		$858.60	$1,129.47	$1,422.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,378.18 / $13,050.49	Facility		$6,909.34	$10,378.18	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $880.11 / $1,187.26 / $1,517.90	Professional		$880.11	$1,187.26	$1,517.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.36 / $1,049.83 / $1,522.45	Professional		$737.36	$1,049.83	$1,522.45