Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.80 / $7,074.00 / $20,400.00	Facility		$751.80	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.97 / $611.22 / $1,821.00	Professional		$387.97	$611.22	$1,821.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.34 / $967.94 / $1,312.81	Professional		$600.34	$967.94	$1,312.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $705.62 / $1,016.51 / $1,144.48	Professional		$705.62	$1,016.51	$1,144.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $611.22 / $930.64 / $1,314.12	Facility		$611.22	$930.64	$1,314.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $659.43 / $801.54 / $1,428.05	Professional		$659.43	$801.54	$1,428.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $612.89 / $827.92 / $894.45	Facility		$612.89	$827.92	$894.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $611.22 / $1,040.84 / $1,314.12	Facility		$611.22	$1,040.84	$1,314.12
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $143.61 / $143.61 / $143.61	Facility	AS	$143.61	$143.61	$143.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $765.02 / $1,025.70 / $1,312.81	Professional		$765.02	$1,025.70	$1,312.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $814.30 / $1,095.36 / $1,400.42	Professional		$814.30	$1,095.36	$1,400.42
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 $661.44 / $923.59 / $1,408.61	Professional		$661.44	$923.59	$1,408.61