Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.95 / $7,920.26 / $20,400.00	Facility		$1,065.95	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.45 / $655.00 / $2,564.15	Professional		$471.45	$655.00	$2,564.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.17 / $1,037.88 / $1,429.83	Professional		$646.17	$1,037.88	$1,429.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $780.44 / $1,115.16 / $1,269.46	Professional		$780.44	$1,115.16	$1,269.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $655.00 / $956.68 / $1,408.25	Facility		$655.00	$956.68	$1,408.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $780.83 / $950.04 / $1,552.19	Professional		$780.83	$950.04	$1,552.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $677.37 / $925.27 / $974.18	Facility		$677.37	$925.27	$974.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $655.00 / $1,175.28 / $7,455.00	Facility		$655.00	$1,175.28	$7,455.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $843.68 / $1,107.59 / $1,459.05	Professional		$843.68	$1,107.59	$1,459.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $881.33 / $1,159.44 / $1,527.29	Professional		$881.33	$1,159.44	$1,527.29
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 $715.53 / $1,005.84 / $1,524.56	Professional		$715.53	$1,005.84	$1,524.56