Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.38 / $5,116.62 / $20,400.00	Facility		$947.38	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.84 / $629.04 / $1,183.30	Professional		$427.84	$629.04	$1,183.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.80 / $993.43 / $1,598.99	Professional		$629.80	$993.43	$1,598.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.81 / $1,010.63 / $1,382.13	Professional		$694.81	$1,010.63	$1,382.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $558.84 / $910.23 / $1,388.10	Facility		$558.84	$910.23	$1,388.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $695.43 / $946.82 / $1,382.42	Professional		$695.43	$946.82	$1,382.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $714.10 / $1,072.24 / $1,188.58	Facility		$714.10	$1,072.24	$1,188.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $558.84 / $934.83 / $2,043.94	Facility		$558.84	$934.83	$2,043.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $778.10 / $1,074.45 / $1,485.73	Professional		$778.10	$1,074.45	$1,485.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,494.80 / $5,709.03	Facility		$3,539.74	$4,494.80	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $786.01 / $1,141.36 / $1,670.44	Professional		$786.01	$1,141.36	$1,670.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $776.91 / $1,124.04 / $1,708.54	Professional		$776.91	$1,124.04	$1,708.54