Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.11 / $5,649.00 / $15,341.00	Facility		$1,114.11	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.91 / $575.07 / $2,535.12	Professional		$444.91	$575.07	$2,535.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.51 / $1,078.93 / $1,469.17	Professional		$654.51	$1,078.93	$1,469.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $965.10 / $1,168.79 / $1,326.22	Professional		$965.10	$1,168.79	$1,326.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.07 / $936.01 / $1,236.40	Facility		$575.07	$936.01	$1,236.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $719.36 / $858.15 / $1,608.41	Professional		$719.36	$858.15	$1,608.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $625.97 / $871.00 / $1,000.98	Facility		$625.97	$871.00	$1,000.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.07 / $1,089.79 / $3,601.00	Facility		$575.07	$1,089.79	$3,601.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $805.77 / $1,135.68 / $1,452.36	Professional		$805.77	$1,135.68	$1,452.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,224.37 / $15,838.63 / $18,619.91	Facility		$9,224.37	$15,838.63	$18,619.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.70 / $1,200.70 / $1,406.09	Professional		$912.70	$1,200.70	$1,406.09
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 $696.15 / $955.50 / $1,578.84	Professional		$696.15	$955.50	$1,578.84