Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.93 / $4,704.00 / $8,728.00	Facility		$1,154.93	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.41 / $744.77 / $2,759.37	Professional		$534.41	$744.77	$2,759.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.91 / $1,135.90 / $1,549.81	Professional		$723.91	$1,135.90	$1,549.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $845.94 / $1,211.42 / $1,364.47	Professional		$845.94	$1,211.42	$1,364.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $744.77 / $1,113.59 / $1,601.26	Facility		$744.77	$1,113.59	$1,601.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.19 / $914.08 / $1,680.57	Professional		$794.19	$914.08	$1,680.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $757.27 / $986.19 / $1,055.92	Facility		$757.27	$986.19	$1,055.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $744.77 / $1,161.47 / $1,394.88	Facility		$744.77	$1,161.47	$1,394.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $922.49 / $1,223.20 / $1,542.78	Professional		$922.49	$1,223.20	$1,542.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,798.42 / $2,798.42 / $2,798.42	Facility		$2,798.42	$2,798.42	$2,798.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $955.14 / $1,293.10 / $1,653.22	Professional		$955.14	$1,293.10	$1,653.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.71 / $1,248.55 / $1,652.24	Professional		$798.71	$1,248.55	$1,652.24