Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.60 / $7,920.26 / $20,400.00	Facility		$960.60	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.14 / $503.98 / $2,220.98	Professional		$366.14	$503.98	$2,220.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.02 / $950.27 / $1,288.23	Professional		$550.02	$950.27	$1,288.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.61 / $993.75 / $1,120.59	Professional		$690.61	$993.75	$1,120.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $503.98 / $839.88 / $1,133.85	Facility		$503.98	$839.88	$1,133.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $631.25 / $736.45 / $1,380.32	Professional		$631.25	$736.45	$1,380.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $557.98 / $771.84 / $877.70	Facility		$557.98	$771.84	$877.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $503.98 / $982.60 / $5,626.00	Facility		$503.98	$982.60	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $727.02 / $1,006.98 / $1,287.77	Professional		$727.02	$1,006.98	$1,287.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,224.37 / $15,008.49 / $18,619.91	Facility		$9,224.37	$15,008.49	$18,619.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $800.76 / $1,074.85 / $1,374.19	Professional		$800.76	$1,074.85	$1,374.19
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 $646.07 / $853.30 / $1,385.19	Professional		$646.07	$853.30	$1,385.19