Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.21 / $4,962.67 / $15,341.00	Facility		$547.21	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.47 / $1,335.89 / $2,191.59	Professional		$253.47	$1,335.89	$2,191.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.65 / $428.65 / $428.65	Facility		$428.65	$428.65	$428.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.59 / $1,126.58 / $3,623.67	Professional		$392.59	$1,126.58	$3,623.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $498.28 / $679.79 / $3,047.30	Professional		$498.28	$679.79	$3,047.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $333.22 / $1,277.47 / $3,355.69	Facility		$333.22	$1,277.47	$3,355.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $422.28 / $1,241.72 / $3,311.76	Professional		$422.28	$1,241.72	$3,311.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $628.29 / $2,399.33 / $2,711.16	Facility		$628.29	$2,399.33	$2,711.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.01 / $1,379.91 / $3,355.69	Facility		$335.01	$1,379.91	$3,355.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $484.49 / $1,633.18 / $3,566.84	Professional		$484.49	$1,633.18	$3,566.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,664.71 / $12,623.94	Facility		$7,811.13	$10,664.71	$12,623.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $484.26 / $1,554.72 / $3,411.76	Professional		$484.26	$1,554.72	$3,411.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,949.00 / $12,835.00 / $26,404.00	Facility		$3,949.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,434.92 / $2,681.10 / $4,109.58	Professional		$1,434.92	$2,681.10	$4,109.58