Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.14 / $5,649.00 / $15,341.00	Facility		$1,063.14	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.11 / $610.14 / $1,248.30	Professional		$390.11	$610.14	$1,248.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.41 / $1,023.60 / $1,415.08	Professional		$592.41	$1,023.60	$1,415.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.67 / $1,103.15 / $1,250.72	Professional		$766.67	$1,103.15	$1,250.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $610.14 / $887.40 / $1,311.80	Facility		$610.14	$887.40	$1,311.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $766.43 / $1,012.61 / $1,523.56	Professional		$766.43	$1,012.61	$1,523.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $578.48 / $885.85 / $964.13	Facility		$578.48	$885.85	$964.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $610.14 / $1,016.80 / $1,311.80	Facility		$610.14	$1,016.80	$1,311.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.88 / $1,023.60 / $1,318.36	Professional		$758.88	$1,023.60	$1,318.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,120.03 / $10,171.54 / $12,819.39	Facility		$8,120.03	$10,171.54	$12,819.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $881.33 / $1,180.70 / $1,509.51	Professional		$881.33	$1,180.70	$1,509.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.49 / $930.25 / $1,524.56	Professional		$636.49	$930.25	$1,524.56