Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.05 / $8,878.56 / $20,400.00	Facility		$1,277.05	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.65 / $758.44 / $3,056.92	Professional		$585.65	$758.44	$3,056.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.65 / $1,256.17 / $1,712.06	Professional		$802.65	$1,256.17	$1,712.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $935.49 / $1,337.98 / $1,506.43	Professional		$935.49	$1,337.98	$1,506.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.44 / $1,182.79 / $1,630.65	Facility		$758.44	$1,182.79	$1,630.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $854.76 / $1,020.50 / $1,859.86	Professional		$854.76	$1,020.50	$1,859.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $809.60 / $1,091.55 / $1,166.47	Facility		$809.60	$1,091.55	$1,166.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.44 / $1,394.40 / $6,246.00	Facility		$758.44	$1,394.40	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,022.83 / $1,329.99 / $1,707.90	Professional		$1,022.83	$1,329.99	$1,707.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $11,525.75 / $13,806.81	Facility		$8,508.06	$11,525.75	$13,806.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,056.01 / $1,428.49 / $1,826.31	Professional		$1,056.01	$1,428.49	$1,826.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $886.16 / $1,260.08 / $1,826.70	Professional		$886.16	$1,260.08	$1,826.70