Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.61 / $5,649.00 / $15,341.00	Facility		$1,252.61	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.15 / $607.20 / $2,950.45	Professional		$528.15	$607.20	$2,950.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.46 / $1,271.20 / $1,727.80	Professional		$717.46	$1,271.20	$1,727.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $905.72 / $1,293.96 / $1,456.87	Professional		$905.72	$1,293.96	$1,456.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $607.20 / $1,069.50 / $1,397.66	Facility		$607.20	$1,069.50	$1,397.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.52 / $1,002.32 / $1,861.99	Professional		$851.52	$1,002.32	$1,861.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $720.94 / $996.96 / $1,177.19	Facility		$720.94	$996.96	$1,177.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.20 / $1,227.96 / $1,500.82	Facility		$607.20	$1,227.96	$1,500.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $939.95 / $1,347.06 / $1,722.68	Professional		$939.95	$1,347.06	$1,722.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,640.51 / $2,640.51 / $2,640.51	Facility		$2,640.51	$2,640.51	$2,640.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,075.69 / $1,441.62 / $1,843.09	Professional		$1,075.69	$1,441.62	$1,843.09
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 $874.13 / $1,176.71 / $1,860.77	Professional		$874.13	$1,176.71	$1,860.77