Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.21 / $7,920.26 / $20,400.00	Facility		$611.21	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.25 / $1,415.02 / $5,979.64	Professional		$274.25	$1,415.02	$5,979.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.68 / $915.58 / $3,100.66	Professional		$459.68	$915.58	$3,100.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.65 / $831.60 / $3,241.67	Professional		$571.65	$831.60	$3,241.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $361.36 / $1,229.86 / $2,886.60	Facility		$361.36	$1,229.86	$2,886.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.42 / $1,909.95 / $3,549.00	Professional		$489.42	$1,909.95	$3,549.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $530.64 / $2,044.17 / $2,282.76	Facility		$530.64	$2,044.17	$2,282.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.36 / $2,169.28 / $5,851.00	Facility		$361.36	$2,169.28	$5,851.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.16 / $1,316.92 / $3,282.22	Professional		$524.16	$1,316.92	$3,282.22
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 $522.39 / $957.48 / $3,307.72	Professional		$522.39	$957.48	$3,307.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $11,821.33 / $26,404.00	Facility		$2,155.00	$11,821.33	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,633.85 / $2,376.71 / $3,714.06	Professional		$1,633.85	$2,376.71	$3,714.06