Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.52 / $9,972.00 / $20,400.00	Facility		$1,208.52	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.96 / $778.59 / $2,865.39	Professional		$516.96	$778.59	$2,865.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.59 / $1,222.61 / $1,651.09	Professional		$754.59	$1,222.61	$1,651.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $883.79 / $1,270.39 / $1,430.33	Professional		$883.79	$1,270.39	$1,430.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $734.03 / $1,100.49 / $1,673.97	Facility		$734.03	$1,100.49	$1,673.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $815.49 / $957.78 / $1,795.14	Professional		$815.49	$957.78	$1,795.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $764.89 / $1,031.13 / $1,124.93	Facility		$764.89	$1,031.13	$1,124.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $778.59 / $1,309.84 / $7,952.00	Facility		$778.59	$1,309.84	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $955.40 / $1,295.58 / $1,656.85	Professional		$955.40	$1,295.58	$1,656.85
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 $1,024.64 / $1,377.62 / $1,761.27	Professional		$1,024.64	$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 $847.99 / $1,212.20 / $1,772.45	Professional		$847.99	$1,212.20	$1,772.45