Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.19 / $8,878.56 / $20,400.00	Facility		$1,171.19	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.65 / $756.98 / $2,811.21	Professional		$550.65	$756.98	$2,811.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.20 / $1,154.53 / $1,572.42	Professional		$739.20	$1,154.53	$1,572.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $858.55 / $1,229.28 / $1,384.04	Professional		$858.55	$1,229.28	$1,384.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $756.98 / $1,131.00 / $1,627.51	Facility		$756.98	$1,131.00	$1,627.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $786.42 / $960.05 / $1,706.03	Professional		$786.42	$960.05	$1,706.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $744.19 / $1,003.46 / $1,071.33	Facility		$744.19	$1,003.46	$1,071.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $756.98 / $1,283.18 / $6,246.00	Facility		$756.98	$1,283.18	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $941.93 / $1,221.15 / $1,565.66	Professional		$941.93	$1,221.15	$1,565.66
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 $968.06 / $1,311.98 / $1,677.35	Professional		$968.06	$1,311.98	$1,677.35
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 $814.09 / $1,281.04 / $1,658.98	Professional		$814.09	$1,281.04	$1,658.98