Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.53 / $5,649.00 / $15,341.00	Facility		$1,017.53	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.15 / $534.04 / $2,357.92	Professional		$439.15	$534.04	$2,357.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.79 / $1,006.21 / $1,363.95	Professional		$585.79	$1,006.21	$1,363.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.49 / $1,053.96 / $1,187.45	Professional		$732.49	$1,053.96	$1,187.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $534.04 / $889.98 / $1,207.91	Facility		$534.04	$889.98	$1,207.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $670.07 / $781.74 / $1,465.21	Professional		$670.07	$781.74	$1,465.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.04 / $828.12 / $929.29	Facility		$588.04	$828.12	$929.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $534.04 / $1,046.34 / $3,274.00	Facility		$534.04	$1,046.34	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $771.54 / $1,066.26 / $1,363.58	Professional		$771.54	$1,066.26	$1,363.58
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 $848.12 / $1,138.03 / $1,454.96	Professional		$848.12	$1,138.03	$1,454.96
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 $660.45 / $945.39 / $1,467.10	Professional		$660.45	$945.39	$1,467.10