Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,304.65 / $9,972.00 / $20,400.00	Facility		$1,304.65	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.04 / $685.38 / $3,050.50	Professional		$573.04	$685.38	$3,050.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.56 / $1,292.55 / $1,747.47	Professional		$765.56	$1,292.55	$1,747.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $938.55 / $1,346.42 / $1,515.93	Professional		$938.55	$1,346.42	$1,515.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $685.38 / $1,142.19 / $1,561.49	Facility		$685.38	$1,142.19	$1,561.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $861.90 / $1,003.07 / $1,880.03	Professional		$861.90	$1,003.07	$1,880.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $778.11 / $1,076.02 / $1,190.58	Facility		$778.11	$1,076.02	$1,190.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $685.38 / $1,365.66 / $7,952.00	Facility		$685.38	$1,365.66	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,004.64 / $1,369.68 / $1,747.47	Professional		$1,004.64	$1,369.68	$1,747.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,039.76 / $15,838.63 / $18,619.91	Facility		$12,039.76	$15,838.63	$18,619.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,088.60 / $1,458.03 / $1,864.07	Professional		$1,088.60	$1,458.03	$1,864.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $887.16 / $1,230.96 / $1,883.09	Professional		$887.16	$1,230.96	$1,883.09