Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.76 / $3,106.37 / $7,920.26	Facility		$122.76	$3,106.37	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.77 / $760.05 / $2,020.59	Professional		$263.77	$760.05	$2,020.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.04 / $778.29 / $2,189.15	Professional		$446.04	$778.29	$2,189.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.38 / $708.67 / $1,954.78	Professional		$483.38	$708.67	$1,954.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $763.62 / $2,044.71	Facility		$347.13	$763.62	$2,044.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $424.32 / $1,258.50 / $2,387.04	Professional		$424.32	$1,258.50	$2,387.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.09 / $1,443.94 / $1,628.10	Facility		$524.09	$1,443.94	$1,628.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $1,570.74 / $3,601.00	Facility		$347.13	$1,570.74	$3,601.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $281.98 / $281.98 / $281.98	Facility	AS	$281.98	$281.98	$281.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.60 / $950.87 / $2,336.44	Professional		$489.60	$950.87	$2,336.44
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 $495.26 / $881.43 / $2,374.44	Professional		$495.26	$881.43	$2,374.44
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 $1,204.84 / $1,606.33 / $2,641.31	Professional		$1,204.84	$1,606.33	$2,641.31