Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.43 / $4,704.00 / $8,728.00	Facility		$1,223.43	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.90 / $726.87 / $2,959.12	Professional		$564.90	$726.87	$2,959.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.95 / $1,204.22 / $1,633.39	Professional		$781.95	$1,204.22	$1,633.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $889.92 / $1,260.27 / $1,418.94	Professional		$889.92	$1,260.27	$1,418.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $726.87 / $1,141.72 / $1,562.77	Facility		$726.87	$1,141.72	$1,562.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $892.37 / $1,050.88 / $1,773.92	Professional		$892.37	$1,050.88	$1,773.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $793.61 / $1,078.70 / $1,112.86	Facility		$793.61	$1,078.70	$1,112.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $726.87 / $1,250.06 / $1,562.77	Facility		$726.87	$1,250.06	$1,562.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $987.82 / $1,301.69 / $1,633.39	Professional		$987.82	$1,301.69	$1,633.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $9,753.18 / $13,050.49	Facility		$4,993.29	$9,753.18	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,012.34 / $1,362.85 / $1,742.39	Professional		$1,012.34	$1,362.85	$1,742.39
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 $848.12 / $1,209.92 / $1,751.17	Professional		$848.12	$1,209.92	$1,751.17