Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.97 / $7,920.26 / $20,400.00	Facility		$590.97	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.50 / $1,250.00 / $2,398.35	Professional		$321.50	$1,250.00	$2,398.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.70 / $927.73 / $2,847.87	Professional		$468.70	$927.73	$2,847.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.23 / $742.29 / $2,329.82	Professional		$505.23	$742.29	$2,329.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $360.79 / $979.28 / $3,266.28	Facility		$360.79	$979.28	$3,266.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $463.03 / $1,505.61 / $2,992.97	Professional		$463.03	$1,505.61	$2,992.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.60 / $1,940.32 / $2,533.27	Facility		$630.60	$1,940.32	$2,533.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $360.79 / $1,944.88 / $9,999.15	Facility		$360.79	$1,944.88	$9,999.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $519.67 / $1,378.93 / $2,931.38	Professional		$519.67	$1,378.93	$2,931.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $525.69 / $935.59 / $2,792.28	Professional		$525.69	$935.59	$2,792.28
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 $1,603.78 / $2,425.41 / $3,135.32	Professional		$1,603.78	$2,425.41	$3,135.32