Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.91 / $5,116.62 / $13,320.00	Facility		$919.91	$5,116.62	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.05 / $944.76 / $2,413.01	Professional		$509.05	$944.76	$2,413.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.07 / $1,218.78 / $1,769.69	Professional		$733.07	$1,218.78	$1,769.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $916.95 / $1,235.10 / $1,585.42	Professional		$916.95	$1,235.10	$1,585.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $668.47 / $1,103.07 / $2,031.23	Facility		$668.47	$1,103.07	$2,031.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $762.15 / $1,072.29 / $1,785.05	Professional		$762.15	$1,072.29	$1,785.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $714.57 / $1,130.96 / $1,370.92	Facility		$714.57	$1,130.96	$1,370.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $668.62 / $1,337.49 / $2,662.00	Facility		$668.62	$1,337.49	$2,662.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $879.38 / $1,257.08 / $1,767.79	Professional		$879.38	$1,257.08	$1,767.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $910.89 / $1,269.55 / $1,858.05	Professional		$910.89	$1,269.55	$1,858.05
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 $900.15 / $1,462.30 / $2,086.31	Professional		$900.15	$1,462.30	$2,086.31