Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.41 / $7,235.97 / $14,491.00	Facility		$834.41	$7,235.97	$14,491.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.25 / $678.39 / $2,319.21	Professional		$498.25	$678.39	$2,319.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.47 / $1,289.00 / $1,751.40	Professional		$713.47	$1,289.00	$1,751.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $943.88 / $1,360.78 / $1,542.08	Professional		$943.88	$1,360.78	$1,542.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $678.39 / $1,054.16 / $1,458.54	Facility		$678.39	$1,054.16	$1,458.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $970.24 / $1,882.16	Professional		$819.00	$970.24	$1,882.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $722.87 / $999.64 / $1,193.27	Facility		$722.87	$999.64	$1,193.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $678.39 / $1,258.00 / $7,952.00	Facility		$678.39	$1,258.00	$7,952.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $191.22 / $191.22 / $191.22	Facility	AS	$191.22	$191.22	$191.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $931.15 / $1,365.78 / $1,746.62	Professional		$931.15	$1,365.78	$1,746.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,085.53 / $1,461.31 / $1,868.27	Professional		$1,085.53	$1,461.31	$1,868.27
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 $843.77 / $1,114.41 / $1,877.78	Professional		$843.77	$1,114.41	$1,877.78