Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.90 / $5,386.96 / $15,341.00	Facility		$487.90	$5,386.96	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.29 / $1,252.35 / $6,616.00	Professional		$239.29	$1,252.35	$6,616.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.82 / $1,777.91 / $6,632.30	Professional		$384.82	$1,777.91	$6,632.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.90 / $2,162.79 / $5,737.77	Professional		$425.90	$2,162.79	$5,737.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.29 / $2,405.35 / $5,235.63	Facility		$289.29	$2,405.35	$5,235.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $359.73 / $2,416.38 / $6,963.72	Professional		$359.73	$2,416.38	$6,963.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $435.50 / $3,365.68 / $4,749.63	Facility		$435.50	$3,365.68	$4,749.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.29 / $3,143.09 / $6,178.32	Facility		$289.29	$3,143.09	$6,178.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $425.70 / $2,504.19 / $6,529.60	Professional		$425.70	$2,504.19	$6,529.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $424.69 / $755.84 / $6,821.05	Professional		$424.69	$755.84	$6,821.05
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 $2,922.06 / $4,951.97 / $7,587.75	Professional		$2,922.06	$4,951.97	$7,587.75