Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.98 / $7,920.26 / $20,400.00	Facility		$641.98	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.69 / $1,563.92 / $8,716.99	Professional		$280.69	$1,563.92	$8,716.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.68 / $1,466.89 / $4,246.60	Professional		$465.68	$1,466.89	$4,246.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.42 / $804.29 / $3,684.71	Professional		$547.42	$804.29	$3,684.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $392.91 / $1,400.17 / $3,943.81	Facility		$392.91	$1,400.17	$3,943.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $469.67 / $2,356.89 / $4,685.22	Professional		$469.67	$2,356.89	$4,685.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $590.94 / $2,737.62 / $3,142.30	Facility		$590.94	$2,737.62	$3,142.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $392.91 / $2,366.52 / $4,024.49	Facility		$392.91	$2,366.52	$4,024.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $561.91 / $1,908.72 / $4,445.91	Professional		$561.91	$1,908.72	$4,445.91
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 $565.83 / $1,007.02 / $4,443.77	Professional		$565.83	$1,007.02	$4,443.77
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 $2,374.32 / $3,196.20 / $4,989.68	Professional		$2,374.32	$3,196.20	$4,989.68