Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.34 / $5,649.00 / $15,341.00	Facility		$995.34	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.56 / $591.26 / $2,384.92	Professional		$446.56	$591.26	$2,384.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.07 / $979.27 / $1,335.43	Professional		$627.07	$979.27	$1,335.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $729.50 / $1,044.44 / $1,175.95	Professional		$729.50	$1,044.44	$1,175.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $591.26 / $922.07 / $1,271.21	Facility		$591.26	$922.07	$1,271.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $672.18 / $804.05 / $1,449.27	Professional		$672.18	$804.05	$1,449.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $640.02 / $855.43 / $909.86	Facility		$640.02	$855.43	$909.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $591.26 / $1,102.24 / $3,274.00	Facility		$591.26	$1,102.24	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $798.83 / $1,038.27 / $1,330.91	Professional		$798.83	$1,038.27	$1,330.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $11,474.33 / $13,050.49	Facility		$8,508.06	$11,474.33	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $822.91 / $1,114.24 / $1,424.54	Professional		$822.91	$1,114.24	$1,424.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $690.60 / $1,047.01 / $1,423.49	Professional		$690.60	$1,047.01	$1,423.49