Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.57 / $7,920.26 / $20,400.00	Facility		$716.57	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.81 / $1,708.69 / $8,046.09	Professional		$293.81	$1,708.69	$8,046.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.17 / $1,088.01 / $3,951.01	Professional		$556.17	$1,088.01	$3,951.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $623.27 / $907.78 / $3,446.34	Professional		$623.27	$907.78	$3,446.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $438.79 / $1,308.29 / $3,201.87	Facility		$438.79	$1,308.29	$3,201.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $534.78 / $1,862.01 / $4,208.28	Professional		$534.78	$1,862.01	$4,208.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $613.72 / $2,275.42 / $2,870.28	Facility		$613.72	$2,275.42	$2,870.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $438.79 / $2,285.28 / $5,626.00	Facility		$438.79	$2,285.28	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.20 / $1,695.12 / $4,178.34	Professional		$615.20	$1,695.12	$4,178.34
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 $640.28 / $1,139.53 / $4,173.74	Professional		$640.28	$1,139.53	$4,173.74
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 $2,133.17 / $2,750.79 / $4,642.87	Professional		$2,133.17	$2,750.79	$4,642.87