Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,184.98 / $5,649.00 / $15,341.00	Facility		$1,184.98	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.58 / $696.44 / $1,388.33	Professional		$444.58	$696.44	$1,388.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.51 / $1,138.67 / $1,578.32	Professional		$676.51	$1,138.67	$1,578.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $854.64 / $1,229.11 / $1,391.57	Professional		$854.64	$1,229.11	$1,391.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $696.44 / $1,015.00 / $1,497.35	Facility		$696.44	$1,015.00	$1,497.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $855.01 / $1,129.65 / $1,699.66	Professional		$855.01	$1,129.65	$1,699.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.21 / $988.64 / $1,075.34	Facility		$645.21	$988.64	$1,075.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $696.44 / $1,160.61 / $1,497.35	Facility		$696.44	$1,160.61	$1,497.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $868.00 / $1,152.16 / $1,498.00	Professional		$868.00	$1,152.16	$1,498.00
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 $982.82 / $1,316.90 / $1,683.65	Professional		$982.82	$1,316.90	$1,683.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,186.07 / $26,404.00	Facility		$2,155.00	$12,186.07	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.99 / $1,022.00 / $1,700.12	Professional		$713.99	$1,022.00	$1,700.12