Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.03 / $9,972.00 / $20,400.00	Facility		$1,281.03	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.41 / $761.41 / $3,068.97	Professional		$587.41	$761.41	$3,068.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.84 / $1,261.08 / $1,716.00	Professional		$808.84	$1,261.08	$1,716.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $937.79 / $1,339.82 / $1,508.51	Professional		$937.79	$1,339.82	$1,508.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $761.41 / $1,187.42 / $1,637.03	Facility		$761.41	$1,187.42	$1,637.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $874.14 / $1,047.15 / $1,865.17	Professional		$874.14	$1,047.15	$1,865.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $815.90 / $1,125.59 / $1,169.15	Facility		$815.90	$1,125.59	$1,169.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $761.41 / $1,284.10 / $1,637.03	Facility		$761.41	$1,284.10	$1,637.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,030.72 / $1,360.71 / $1,713.87	Professional		$1,030.72	$1,360.71	$1,713.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,039.76 / $15,838.63 / $18,619.91	Facility		$12,039.76	$15,838.63	$18,619.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,059.08 / $1,431.77 / $1,830.51	Professional		$1,059.08	$1,431.77	$1,830.51
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 / $1,264.78 / $1,815.00	Professional		$873.61	$1,264.78	$1,815.00