Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,310.85 / $8,878.56 / $20,400.00	Facility		$1,310.85	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.67 / $778.63 / $3,139.29	Professional		$600.67	$778.63	$3,139.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.20 / $1,289.59 / $1,756.32	Professional		$824.20	$1,289.59	$1,756.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $960.06 / $1,373.14 / $1,546.02	Professional		$960.06	$1,373.14	$1,546.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $778.63 / $1,214.27 / $1,674.05	Facility		$778.63	$1,214.27	$1,674.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $877.20 / $1,064.54 / $1,908.66	Professional		$877.20	$1,064.54	$1,908.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $833.34 / $1,120.24 / $1,196.61	Facility		$833.34	$1,120.24	$1,196.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $778.63 / $1,435.07 / $6,246.00	Facility		$778.63	$1,435.07	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,050.29 / $1,365.24 / $1,752.66	Professional		$1,050.29	$1,365.24	$1,752.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,952.22 / $13,050.49	Facility		$6,909.34	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,083.68 / $1,465.41 / $1,873.51	Professional		$1,083.68	$1,465.41	$1,873.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $927.18 / $1,376.99 / $1,857.14	Professional		$927.18	$1,376.99	$1,857.14