Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.66 / $7,920.26 / $20,400.00	Facility		$856.66	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.30 / $525.54 / $2,063.16	Professional		$389.30	$525.54	$2,063.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.10 / $832.07 / $1,169.24	Professional		$531.10	$832.07	$1,169.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.61 / $889.89 / $1,013.02	Professional		$622.61	$889.89	$1,013.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $385.91 / $751.54 / $1,129.93	Facility		$385.91	$751.54	$1,129.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $635.12 / $904.56 / $1,262.54	Professional		$635.12	$904.56	$1,262.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $538.99 / $758.45 / $796.63	Facility		$538.99	$758.45	$796.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $385.91 / $875.83 / $1,129.93	Facility		$385.91	$875.83	$1,129.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $687.07 / $937.70 / $1,214.36	Professional		$687.07	$937.70	$1,214.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,410.73 / $11,450.46 / $14,700.82	Facility		$8,410.73	$11,450.46	$14,700.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $725.12 / $953.93 / $1,256.58	Professional		$725.12	$953.93	$1,256.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $614.27 / $995.79 / $1,308.69	Professional		$614.27	$995.79	$1,308.69