Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.69 / $7,920.26 / $20,400.00	Facility		$1,153.69	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.98 / $698.90 / $2,780.13	Professional		$496.98	$698.90	$2,780.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.90 / $1,160.68 / $1,563.57	Professional		$716.90	$1,160.68	$1,563.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.91 / $1,168.24 / $1,329.88	Professional		$820.91	$1,168.24	$1,329.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $698.90 / $1,089.93 / $1,562.41	Facility		$698.90	$1,089.93	$1,562.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $842.21 / $1,103.74 / $1,674.21	Professional		$842.21	$1,103.74	$1,674.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $775.68 / $1,000.00 / $1,078.70	Facility		$775.68	$1,000.00	$1,078.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $698.90 / $1,204.40 / $1,562.41	Facility		$698.90	$1,204.40	$1,562.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $927.20 / $1,236.34 / $1,622.42	Professional		$927.20	$1,236.34	$1,622.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,597.50 / $9,123.83 / $11,932.41	Facility		$4,597.50	$9,123.83	$11,932.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $979.74 / $1,288.90 / $1,697.82	Professional		$979.74	$1,288.90	$1,697.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.21 / $1,174.33 / $1,679.01	Professional		$801.21	$1,174.33	$1,679.01