Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,016.06 / $7,920.26 / $20,400.00	Facility		$1,016.06	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.62 / $2,124.62 / $5,308.97	Professional		$456.62	$2,124.62	$5,308.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.29 / $1,780.52 / $4,888.38	Professional		$720.29	$1,780.52	$4,888.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $871.58 / $1,495.83 / $3,930.70	Professional		$871.58	$1,495.83	$3,930.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $532.32 / $1,647.80 / $4,638.45	Facility		$532.32	$1,647.80	$4,638.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $719.78 / $2,519.67 / $4,368.24	Professional		$719.78	$2,519.67	$4,368.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $825.44 / $3,098.35 / $3,603.25	Facility		$825.44	$3,098.35	$3,603.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $532.32 / $3,201.08 / $7,241.00	Facility		$532.32	$3,201.08	$7,241.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $874.88 / $2,144.53 / $4,728.99	Professional		$874.88	$2,144.53	$4,728.99
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 $892.12 / $1,587.73 / $4,808.56	Professional		$892.12	$1,587.73	$4,808.56
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 $2,737.46 / $4,002.93 / $5,399.30	Professional		$2,737.46	$4,002.93	$5,399.30