Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.09 / $7,920.26 / $20,400.00	Facility		$781.09	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.38 / $1,843.65 / $4,613.93	Professional		$355.38	$1,843.65	$4,613.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.54 / $1,592.78 / $4,906.08	Professional		$571.54	$1,592.78	$4,906.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $659.53 / $1,512.04 / $3,980.00	Professional		$659.53	$1,512.04	$3,980.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $410.84 / $1,668.47 / $4,702.85	Facility		$410.84	$1,668.47	$4,702.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $564.14 / $2,545.29 / $4,391.04	Professional		$564.14	$2,545.29	$4,391.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $657.94 / $3,131.92 / $3,619.58	Facility		$657.94	$3,131.92	$3,619.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.84 / $2,284.44 / $4,702.85	Facility		$410.84	$2,284.44	$4,702.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $679.68 / $2,156.84 / $4,755.43	Professional		$679.68	$2,156.84	$4,755.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,039.76 / $15,838.63 / $18,619.91	Facility		$12,039.76	$15,838.63	$18,619.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $687.54 / $1,223.64 / $4,830.35	Professional		$687.54	$1,223.64	$4,830.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,758.12 / $3,963.41 / $5,423.76	Professional		$2,758.12	$3,963.41	$5,423.76