Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.17 / $4,704.00 / $8,728.00	Facility		$1,150.17	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.59 / $683.69 / $2,782.87	Professional		$530.59	$683.69	$2,782.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.31 / $1,132.82 / $1,537.02	Professional		$735.31	$1,132.82	$1,537.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $837.76 / $1,186.61 / $1,336.01	Professional		$837.76	$1,186.61	$1,336.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $683.69 / $1,073.99 / $1,469.93	Facility		$683.69	$1,073.99	$1,469.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $781.83 / $951.08 / $1,669.95	Professional		$781.83	$951.08	$1,669.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $746.61 / $1,014.38 / $1,047.21	Facility		$746.61	$1,014.38	$1,047.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $683.69 / $1,175.90 / $1,469.93	Facility		$683.69	$1,175.90	$1,469.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $929.25 / $1,224.07 / $1,537.02	Professional		$929.25	$1,224.07	$1,537.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,568.64 / $2,136.85 / $2,599.42	Facility		$1,568.64	$2,136.85	$2,599.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $951.45 / $1,282.44 / $1,639.59	Professional		$951.45	$1,282.44	$1,639.59
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 $782.33 / $1,137.78 / $1,645.84	Professional		$782.33	$1,137.78	$1,645.84