Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.83 / $5,649.00 / $15,341.00	Facility		$1,069.83	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.06 / $636.16 / $2,564.30	Professional		$490.06	$636.16	$2,564.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.79 / $1,053.66 / $1,436.72	Professional		$674.79	$1,053.66	$1,436.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $785.03 / $1,123.50 / $1,264.95	Professional		$785.03	$1,123.50	$1,264.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $636.16 / $992.11 / $1,367.77	Facility		$636.16	$992.11	$1,367.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $718.59 / $856.70 / $1,560.69	Professional		$718.59	$856.70	$1,560.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $680.24 / $915.56 / $978.87	Facility		$680.24	$915.56	$978.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $636.16 / $1,172.79 / $3,274.00	Facility		$636.16	$1,172.79	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $859.90 / $1,114.92 / $1,430.38	Professional		$859.90	$1,114.92	$1,430.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $884.41 / $1,198.75 / $1,532.59	Professional		$884.41	$1,198.75	$1,532.59
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 $728.53 / $1,143.23 / $1,515.66	Professional		$728.53	$1,143.23	$1,515.66