Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.36 / $8,878.56 / $20,400.00	Facility		$1,082.36	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.72 / $699.31 / $2,597.21	Professional		$502.72	$699.31	$2,597.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.71 / $1,066.57 / $1,452.45	Professional		$682.71	$1,066.57	$1,452.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.09 / $1,134.52 / $1,277.35	Professional		$793.09	$1,134.52	$1,277.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $699.31 / $1,044.73 / $1,503.52	Facility		$699.31	$1,044.73	$1,503.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $727.26 / $871.65 / $1,576.60	Professional		$727.26	$871.65	$1,576.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $693.80 / $925.31 / $989.59	Facility		$693.80	$925.31	$989.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $699.31 / $1,194.36 / $6,246.00	Facility		$699.31	$1,194.36	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $869.99 / $1,127.05 / $1,447.29	Professional		$869.99	$1,127.05	$1,447.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,103.13 / $13,092.93	Facility		$8,763.99	$12,103.13	$13,092.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $894.87 / $1,211.88 / $1,549.37	Professional		$894.87	$1,211.88	$1,549.37
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 $752.60 / $1,158.72 / $1,547.98	Professional		$752.60	$1,158.72	$1,547.98