Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.69 / $7,920.26 / $20,400.00	Facility		$718.69	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.30 / $1,732.64 / $7,209.79	Professional		$336.30	$1,732.64	$7,209.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.03 / $1,208.81 / $3,436.71	Professional		$527.03	$1,208.81	$3,436.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $614.12 / $902.28 / $3,007.90	Professional		$614.12	$902.28	$3,007.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $435.35 / $1,150.47 / $4,136.06	Facility		$435.35	$1,150.47	$4,136.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $538.53 / $1,952.35 / $3,881.03	Professional		$538.53	$1,952.35	$3,881.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $708.19 / $2,382.98 / $3,039.12	Facility		$708.19	$2,382.98	$3,039.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $435.35 / $1,923.75 / $4,136.06	Facility		$435.35	$1,923.75	$4,136.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $643.04 / $1,649.56 / $3,728.30	Professional		$643.04	$1,649.56	$3,728.30
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 $648.69 / $1,154.50 / $3,642.19	Professional		$648.69	$1,154.50	$3,642.19
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 $2,029.37 / $3,158.21 / $4,089.61	Professional		$2,029.37	$3,158.21	$4,089.61