Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.54 / $9,972.00 / $20,400.00	Facility		$1,219.54	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.24 / $641.72 / $2,848.11	Professional		$547.24	$641.72	$2,848.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.66 / $1,208.63 / $1,636.34	Professional		$713.66	$1,208.63	$1,636.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $878.79 / $1,261.70 / $1,420.54	Professional		$878.79	$1,261.70	$1,420.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $641.72 / $1,106.02 / $1,759.57	Facility		$641.72	$1,106.02	$1,759.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $826.34 / $939.10 / $1,760.15	Professional		$826.34	$939.10	$1,760.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $727.23 / $1,018.80 / $1,181.58	Facility		$727.23	$1,018.80	$1,181.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $641.72 / $1,318.53 / $7,952.00	Facility		$641.72	$1,318.53	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $940.94 / $1,296.00 / $1,636.34	Professional		$940.94	$1,296.00	$1,636.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,224.37 / $15,008.49 / $18,619.91	Facility		$9,224.37	$15,008.49	$18,619.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,016.64 / $1,365.31 / $1,745.54	Professional		$1,016.64	$1,365.31	$1,745.54
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 $841.38 / $1,393.59 / $1,834.84	Professional		$841.38	$1,393.59	$1,834.84