Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.75 / $7,920.26 / $20,400.00	Facility		$720.75	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.22 / $1,035.49 / $2,594.52	Professional		$336.22	$1,035.49	$2,594.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.97 / $981.41 / $2,218.82	Professional		$561.97	$981.41	$2,218.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $621.45 / $851.08 / $1,945.33	Professional		$621.45	$851.08	$1,945.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $439.95 / $976.51 / $2,447.82	Facility		$439.95	$976.51	$2,447.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $538.04 / $1,270.25 / $2,405.73	Professional		$538.04	$1,270.25	$2,405.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $649.90 / $1,548.98 / $1,816.75	Facility		$649.90	$1,548.98	$1,816.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $439.95 / $1,600.33 / $5,851.00	Facility		$439.95	$1,600.33	$5,851.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $634.24 / $1,093.40 / $2,425.35	Professional		$634.24	$1,093.40	$2,425.35
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 $641.57 / $1,141.83 / $2,347.90	Professional		$641.57	$1,141.83	$2,347.90
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 $1,326.06 / $2,041.63 / $2,636.33	Professional		$1,326.06	$2,041.63	$2,636.33