Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.31 / $5,649.00 / $15,341.00	Facility		$1,076.31	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.34 / $521.21 / $2,525.86	Professional		$484.34	$521.21	$2,525.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.28 / $1,089.39 / $1,484.90	Professional		$658.28	$1,089.39	$1,484.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $778.72 / $1,114.49 / $1,254.80	Professional		$778.72	$1,114.49	$1,254.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $521.21 / $912.18 / $1,364.33	Facility		$521.21	$912.18	$1,364.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $749.70 / $871.65 / $1,598.87	Professional		$749.70	$871.65	$1,598.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $684.11 / $924.86 / $1,011.70	Facility		$684.11	$924.86	$1,011.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $521.21 / $1,120.59 / $1,288.01	Facility		$521.21	$1,120.59	$1,288.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $840.96 / $1,154.40 / $1,484.90	Professional		$840.96	$1,154.40	$1,484.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,500.30 / $2,500.30 / $2,500.30	Facility		$2,500.30	$2,500.30	$2,500.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $923.16 / $1,238.96 / $1,583.99	Professional		$923.16	$1,238.96	$1,583.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.09 / $1,164.20 / $1,596.92	Professional		$761.09	$1,164.20	$1,596.92