Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.15 / $2,747.00 / $7,920.26	Facility		$889.15	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.52 / $659.32 / $1,409.53	Professional		$238.52	$659.32	$1,409.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.70 / $971.62 / $1,318.71	Professional		$588.70	$971.62	$1,318.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $713.12 / $1,016.11 / $1,144.04	Professional		$713.12	$1,016.11	$1,144.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $440.65 / $659.32 / $1,417.54	Facility		$440.65	$659.32	$1,417.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.70 / $752.84 / $1,425.95	Professional		$392.70	$752.84	$1,425.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $347.70 / $737.55 / $898.47	Facility		$347.70	$737.55	$898.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $440.65 / $659.32 / $1,417.54	Facility		$440.65	$659.32	$1,417.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $582.89 / $1,029.59 / $1,318.71	Professional		$582.89	$1,029.59	$1,318.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $822.29 / $1,100.29 / $1,406.71	Professional		$822.29	$1,100.29	$1,406.71
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 $498.32 / $865.64 / $1,422.43	Professional		$498.32	$865.64	$1,422.43