Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.93 / $8,878.56 / $20,400.00	Facility		$1,230.93	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.01 / $648.41 / $2,874.56	Professional		$538.01	$648.41	$2,874.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.34 / $1,209.36 / $1,647.16	Professional		$727.34	$1,209.36	$1,647.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $896.66 / $1,285.01 / $1,449.70	Professional		$896.66	$1,285.01	$1,449.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $648.41 / $1,080.58 / $1,402.28	Facility		$648.41	$1,080.58	$1,402.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $814.16 / $949.85 / $1,780.29	Professional		$814.16	$949.85	$1,780.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $731.11 / $993.61 / $1,122.25	Facility		$731.11	$993.61	$1,122.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $648.41 / $1,139.54 / $1,419.30	Facility		$648.41	$1,139.54	$1,419.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $1,290.58 / $1,645.23	Professional		$945.63	$1,290.58	$1,645.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,679.52 / $2,679.52 / $2,679.52	Facility		$2,679.52	$2,679.52	$2,679.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,017.26 / $1,374.34 / $1,757.08	Professional		$1,017.26	$1,374.34	$1,757.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $831.03 / $1,140.76 / $1,759.68	Professional		$831.03	$1,140.76	$1,759.68