Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $7,074.00 / $20,400.00	Facility		$0.91	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.72 / $593.16 / $1,261.34	Professional		$396.72	$593.16	$1,261.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.28 / $906.14 / $1,382.80	Professional		$510.28	$906.14	$1,382.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $906.70 / $1,065.98 / $1,278.86	Professional		$906.70	$1,065.98	$1,278.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $593.16 / $804.94 / $1,088.96	Facility		$593.16	$804.94	$1,088.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $687.48 / $831.55 / $1,282.96	Professional		$687.48	$831.55	$1,282.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $578.25 / $869.66 / $974.85	Facility		$578.25	$869.66	$974.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $637.24 / $888.65 / $5,217.00	Facility		$637.24	$888.65	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $774.84 / $958.12 / $1,321.12	Professional		$774.84	$958.12	$1,321.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,985.16 / $2,351.11	Facility		$1,400.90	$1,985.16	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $880.32 / $1,135.63 / $1,526.30	Professional		$880.32	$1,135.63	$1,526.30
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.50 / $891.00 / $1,512.49	Professional		$634.50	$891.00	$1,512.49