Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,356.64 / $7,920.26 / $20,400.00	Facility		$1,356.64	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.29 / $710.11 / $1,950.39	Professional		$552.29	$710.11	$1,950.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.05 / $1,350.70 / $1,824.17	Professional		$766.05	$1,350.70	$1,824.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $978.94 / $1,410.04 / $1,590.78	Professional		$978.94	$1,410.04	$1,590.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $1,143.63 / $1,541.12	Facility		$710.11	$1,143.63	$1,541.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $852.72 / $1,028.48 / $1,958.55	Professional		$852.72	$1,028.48	$1,958.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $779.56 / $1,078.03 / $1,242.84	Facility		$779.56	$1,078.03	$1,242.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $1,337.13 / $5,626.00	Facility		$710.11	$1,337.13	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $989.43 / $1,431.30 / $1,824.17	Professional		$989.43	$1,431.30	$1,824.17
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 $1,131.04 / $1,522.03 / $1,945.90	Professional		$1,131.04	$1,522.03	$1,945.90
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 $891.55 / $1,209.92 / $1,956.52	Professional		$891.55	$1,209.92	$1,956.52