Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.38 / $5,649.00 / $15,341.00	Facility		$1,230.38	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.51 / $730.57 / $2,942.08	Professional		$467.51	$730.57	$2,942.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.32 / $1,210.01 / $1,651.09	Professional		$772.32	$1,210.01	$1,651.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $901.55 / $1,290.33 / $1,452.79	Professional		$901.55	$1,290.33	$1,452.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $730.57 / $1,139.32 / $1,570.73	Facility		$730.57	$1,139.32	$1,570.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $821.61 / $994.50 / $1,791.96	Professional		$821.61	$994.50	$1,791.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $777.62 / $1,051.51 / $1,124.93	Facility		$777.62	$1,051.51	$1,124.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $730.57 / $1,340.45 / $3,274.00	Facility		$730.57	$1,340.45	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $984.18 / $1,280.48 / $1,645.23	Professional		$984.18	$1,280.48	$1,645.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,017.26 / $1,377.62 / $1,761.27	Professional		$1,017.26	$1,377.62	$1,761.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.16 / $1,312.13 / $1,759.68	Professional		$836.16	$1,312.13	$1,759.68