Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.67 / $2,747.00 / $7,920.26	Facility		$1,166.67	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.25 / $761.77 / $3,071.51	Professional		$588.25	$761.77	$3,071.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.15 / $1,261.68 / $1,719.93	Professional		$806.15	$1,261.68	$1,719.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $939.83 / $1,344.55 / $1,513.83	Professional		$939.83	$1,344.55	$1,513.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $761.77 / $1,187.98 / $1,637.81	Facility		$761.77	$1,187.98	$1,637.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $858.84 / $1,024.40 / $1,868.35	Professional		$858.84	$1,024.40	$1,868.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $809.60 / $1,096.42 / $1,171.83	Facility		$809.60	$1,096.42	$1,171.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $761.77 / $1,276.85 / $1,637.81	Facility		$761.77	$1,276.85	$1,637.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,027.29 / $1,335.79 / $1,715.86	Professional		$1,027.29	$1,335.79	$1,715.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $8,066.74	Facility		$4,993.29	$6,338.31	$8,066.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,060.92 / $1,435.05 / $1,834.70	Professional		$1,060.92	$1,435.05	$1,834.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $873.61 / $1,265.40 / $1,914.73	Professional		$873.61	$1,265.40	$1,914.73