Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.28 / $7,920.26 / $20,400.00	Facility		$600.28	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.39 / $1,448.18 / $8,853.15	Professional		$290.39	$1,448.18	$8,853.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.23 / $887.16 / $3,933.04	Professional		$474.23	$887.16	$3,933.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $513.79 / $754.87 / $3,431.16	Professional		$513.79	$754.87	$3,431.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.88 / $1,303.39 / $4,543.29	Facility		$363.88	$1,303.39	$4,543.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $441.92 / $2,195.17 / $4,179.81	Professional		$441.92	$2,195.17	$4,179.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $545.38 / $2,716.62 / $3,386.85	Facility		$545.38	$2,716.62	$3,386.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.88 / $2,344.34 / $4,543.29	Facility		$363.88	$2,344.34	$4,543.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $522.38 / $2,056.12 / $4,407.52	Professional		$522.38	$2,056.12	$4,407.52
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 $529.57 / $942.50 / $4,198.37	Professional		$529.57	$942.50	$4,198.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.96 / $3,563.56 / $4,714.13	Professional		$2,454.96	$3,563.56	$4,714.13