Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,099.53 / $4,704.00 / $8,728.00	Facility		$1,099.53	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.52 / $710.00 / $2,635.57	Professional		$513.52	$710.00	$2,635.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.53 / $1,082.88 / $1,476.05	Professional		$691.53	$1,082.88	$1,476.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $805.35 / $1,151.50 / $1,296.47	Professional		$805.35	$1,151.50	$1,296.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $1,061.40 / $1,526.50	Facility		$710.00	$1,061.40	$1,526.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $805.38 / $922.88 / $1,601.00	Professional		$805.38	$922.88	$1,601.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $697.20 / $964.13 / $1,007.30	Facility		$697.20	$964.13	$1,007.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $1,201.01 / $2,724.00	Facility		$710.00	$1,201.01	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $881.22 / $1,168.00 / $1,470.17	Professional		$881.22	$1,168.00	$1,470.17
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 $909.02 / $1,231.57 / $1,574.55	Professional		$909.02	$1,231.57	$1,574.55
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 $764.26 / $1,157.28 / $1,572.43	Professional		$764.26	$1,157.28	$1,572.43