Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.67 / $8,878.56 / $20,400.00	Facility		$1,036.67	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.83 / $616.54 / $2,476.55	Professional		$473.83	$616.54	$2,476.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.16 / $1,021.17 / $1,392.47	Professional		$652.16	$1,021.17	$1,392.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.44 / $1,089.34 / $1,228.29	Professional		$760.44	$1,089.34	$1,228.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.54 / $961.51 / $1,325.58	Facility		$616.54	$961.51	$1,325.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $695.13 / $823.55 / $1,509.75	Professional		$695.13	$823.55	$1,509.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $656.01 / $891.77 / $948.72	Facility		$656.01	$891.77	$948.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.54 / $1,132.11 / $6,246.00	Facility		$616.54	$1,132.11	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.05 / $1,081.34 / $1,385.70	Professional		$831.05	$1,081.34	$1,385.70
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 $856.74 / $1,161.83 / $1,484.66	Professional		$856.74	$1,161.83	$1,484.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.04 / $1,102.42 / $1,482.02	Professional		$709.04	$1,102.42	$1,482.02