Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.88 / $4,704.00 / $8,728.00	Facility		$1,008.88	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.41 / $599.64 / $2,441.69	Professional		$465.41	$599.64	$2,441.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $644.57 / $993.70 / $1,350.18	Professional		$644.57	$993.70	$1,350.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $735.12 / $1,041.50 / $1,172.63	Professional		$735.12	$1,041.50	$1,172.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $599.64 / $939.96 / $1,289.23	Facility		$599.64	$939.96	$1,289.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $685.44 / $854.75 / $1,465.21	Professional		$685.44	$854.75	$1,465.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $628.22 / $888.42 / $919.91	Facility		$628.22	$888.42	$919.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.64 / $1,121.33 / $2,724.00	Facility		$599.64	$1,121.33	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $815.13 / $1,072.07 / $1,349.81	Professional		$815.13	$1,072.07	$1,349.81
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 $834.59 / $1,126.55 / $1,440.28	Professional		$834.59	$1,126.55	$1,440.28
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 $713.39 / $1,058.58 / $1,443.71	Professional		$713.39	$1,058.58	$1,443.71