Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.25 / $7,760.15 / $13,746.00	Facility		$792.25	$7,760.15	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.80 / $644.11 / $1,905.00	Professional		$441.80	$644.11	$1,905.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.29 / $982.39 / $1,339.36	Professional		$630.29	$982.39	$1,339.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $731.67 / $1,047.57 / $1,179.56	Professional		$731.67	$1,047.57	$1,179.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $644.11 / $962.08 / $1,384.84	Facility		$644.11	$962.08	$1,384.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $669.12 / $797.55 / $1,453.53	Professional		$669.12	$797.55	$1,453.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $636.63 / $853.29 / $912.54	Facility		$636.63	$853.29	$912.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $644.11 / $1,097.26 / $6,246.00	Facility		$644.11	$1,097.26	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $801.24 / $1,038.80 / $1,333.89	Professional		$801.24	$1,038.80	$1,333.89
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 $824.75 / $1,117.52 / $1,428.74	Professional		$824.75	$1,117.52	$1,428.74
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 $679.64 / $965.22 / $1,426.70	Professional		$679.64	$965.22	$1,426.70