Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.30 / $5,649.00 / $15,341.00	Facility		$1,010.30	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.43 / $489.18 / $1,679.45	Professional		$435.43	$489.18	$1,679.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.36 / $1,020.93 / $1,387.55	Professional		$590.36	$1,020.93	$1,387.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $728.37 / $1,048.44 / $1,180.44	Professional		$728.37	$1,048.44	$1,180.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.18 / $825.94 / $1,219.94	Facility		$489.18	$825.94	$1,219.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $702.45 / $794.19 / $1,488.53	Professional		$702.45	$794.19	$1,488.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $611.44 / $834.55 / $945.37	Facility		$611.44	$834.55	$945.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.18 / $978.62 / $1,203.06	Facility		$489.18	$978.62	$1,203.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.16 / $1,081.85 / $1,383.53	Professional		$776.16	$1,081.85	$1,383.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,234.16 / $2,234.16 / $2,234.16	Facility		$2,234.16	$2,234.16	$2,234.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $862.89 / $1,157.73 / $1,480.14	Professional		$862.89	$1,157.73	$1,480.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $694.65 / $959.88 / $1,492.66	Professional		$694.65	$959.88	$1,492.66