Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.33 / $7,920.26 / $20,400.00	Facility		$277.33	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.10 / $680.42 / $1,710.31	Professional		$122.10	$680.42	$1,710.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.54 / $600.79 / $1,886.90	Professional		$218.54	$600.79	$1,886.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.55 / $580.77 / $1,528.46	Professional		$234.55	$580.77	$1,528.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $580.77 / $2,162.40	Facility		$175.41	$580.77	$2,162.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.47 / $974.03 / $1,936.25	Professional		$197.47	$974.03	$1,936.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.25 / $1,202.97 / $1,636.14	Facility		$251.25	$1,202.97	$1,636.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $1,088.45 / $2,162.40	Facility		$175.41	$1,088.45	$2,162.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.50 / $816.22 / $1,851.41	Professional		$240.50	$816.22	$1,851.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.54 / $426.31 / $1,834.36	Professional		$239.54	$426.31	$1,834.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.15 / $1,640.77 / $2,142.19	Professional		$1,172.15	$1,640.77	$2,142.19