Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.93 / $2,768.53 / $13,320.00	Facility		$750.93	$2,768.53	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.83 / $1,200.48 / $3,358.83	Professional		$327.83	$1,200.48	$3,358.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.40 / $1,166.27 / $3,331.34	Professional		$641.40	$1,166.27	$3,331.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $716.27 / $1,044.89 / $2,918.68	Professional		$716.27	$1,044.89	$2,918.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $505.12 / $1,113.61 / $3,354.95	Facility		$505.12	$1,113.61	$3,354.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.44 / $1,887.77 / $3,578.61	Professional		$616.44	$1,887.77	$3,578.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $755.76 / $2,141.17 / $2,628.88	Facility		$755.76	$2,141.17	$2,628.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $505.12 / $2,383.15 / $5,851.00	Facility		$505.12	$2,383.15	$5,851.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $710.66 / $1,557.67 / $3,644.56	Professional		$710.66	$1,557.67	$3,644.56
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 $739.33 / $1,315.81 / $3,539.86	Professional		$739.33	$1,315.81	$3,539.86
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 $1,923.39 / $2,507.80 / $3,937.76	Professional		$1,923.39	$2,507.80	$3,937.76