Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,698.24 / $7,943.28	Facility		$776.25	$1,698.24	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,659.59	Professional		$588.84	$776.25	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,445.44 / $2,041.74	Professional		$741.31	$1,445.44	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,737.80	Professional		$1,023.29	$1,318.26	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $977.24 / $1,659.59	Facility		$724.44	$977.24	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,737.80	Professional		$977.24	$1,148.15	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,348.96	Facility		$1,000.00	$1,258.93	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $933.25 / $1,584.89	Facility		$724.44	$933.25	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,258.93 / $1,819.70	Professional		$79.43	$1,258.93	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,819.70	Professional		$1,230.27	$1,445.44	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $8,128.31 / $12,882.50	Facility		$1,445.44	$8,128.31	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $1,819.70	Professional		$794.33	$1,258.93	$1,819.70