Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.65 / $7,920.26 / $20,400.00	Facility		$747.65	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.11 / $844.88 / $2,256.50	Professional		$318.11	$844.88	$2,256.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.84 / $1,229.22 / $2,698.96	Professional		$572.84	$1,229.22	$2,698.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $809.02 / $1,150.73 / $2,396.66	Professional		$809.02	$1,150.73	$2,396.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $511.79 / $1,100.34 / $2,487.09	Facility		$511.79	$1,100.34	$2,487.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $573.00 / $1,311.34 / $2,626.30	Professional		$573.00	$1,311.34	$2,626.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $617.40 / $1,656.91 / $1,991.91	Facility		$617.40	$1,656.91	$1,991.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.79 / $1,563.99 / $3,425.38	Facility		$511.79	$1,563.99	$3,425.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $644.82 / $1,229.22 / $2,698.96	Professional		$644.82	$1,229.22	$2,698.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $650.64 / $1,311.25 / $2,784.70	Professional		$650.64	$1,311.25	$2,784.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,402.91 / $1,872.00 / $3,126.78	Professional		$1,402.91	$1,872.00	$3,126.78