Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.22 / $7,920.26 / $20,400.00	Facility		$969.22	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.68 / $595.42 / $2,339.69	Professional		$483.68	$595.42	$2,339.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.63 / $938.42 / $1,320.68	Professional		$602.63	$938.42	$1,320.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $704.35 / $1,005.44 / $1,144.56	Professional		$704.35	$1,005.44	$1,144.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.02 / $851.46 / $1,280.17	Facility		$436.02	$851.46	$1,280.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $719.45 / $1,024.67 / $1,430.18	Professional		$719.45	$1,024.67	$1,430.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $627.01 / $858.02 / $960.11	Facility		$627.01	$858.02	$960.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.02 / $928.57 / $1,280.17	Facility		$436.02	$928.57	$1,280.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $779.22 / $1,067.20 / $1,374.02	Professional		$779.22	$1,067.20	$1,374.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,539.32 / $27,893.00 / $33,574.44	Facility		$21,539.32	$27,893.00	$33,574.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $820.45 / $1,079.33 / $1,421.78	Professional		$820.45	$1,079.33	$1,421.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $64,404.00 / $94,117.00	Facility		$3,340.00	$64,404.00	$94,117.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.80 / $1,033.21 / $1,419.26	Professional		$688.80	$1,033.21	$1,419.26