Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.77 / $4,704.00 / $8,728.00	Facility		$1,023.77	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.30 / $607.71 / $2,475.51	Professional		$473.30	$607.71	$2,475.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.03 / $1,008.42 / $1,368.86	Professional		$654.03	$1,008.42	$1,368.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $745.14 / $1,055.64 / $1,188.54	Professional		$745.14	$1,055.64	$1,188.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $607.71 / $954.54 / $1,306.58	Facility		$607.71	$954.54	$1,306.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $695.13 / $845.68 / $1,485.35	Professional		$695.13	$845.68	$1,485.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.50 / $905.56 / $937.76	Facility		$616.50	$905.56	$937.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.71 / $1,137.09 / $2,724.00	Facility		$607.71	$1,137.09	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $827.21 / $1,087.43 / $1,368.86	Professional		$827.21	$1,087.43	$1,368.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $847.51 / $1,142.14 / $1,460.21	Professional		$847.51	$1,142.14	$1,460.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.64 / $1,010.78 / $1,466.07	Professional		$695.64	$1,010.78	$1,466.07