Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.19 / $5,649.00 / $15,341.00	Facility		$971.19	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.50 / $588.23 / $2,325.41	Professional		$476.50	$588.23	$2,325.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.00 / $989.43 / $1,333.46	Professional		$603.00	$989.43	$1,333.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $705.90 / $999.05 / $1,137.29	Professional		$705.90	$999.05	$1,137.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.23 / $917.34 / $1,530.02	Facility		$588.23	$917.34	$1,530.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $727.45 / $941.30 / $1,446.09	Professional		$727.45	$941.30	$1,446.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $634.50 / $859.90 / $996.96	Facility		$634.50	$859.90	$996.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.23 / $1,156.72 / $6,008.00	Facility		$588.23	$1,156.72	$6,008.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $792.81 / $1,054.56 / $1,388.44	Professional		$792.81	$1,054.56	$1,388.44
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 $829.07 / $1,090.67 / $1,436.70	Professional		$829.07	$1,090.67	$1,436.70
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 $691.08 / $980.63 / $1,420.79	Professional		$691.08	$980.63	$1,420.79