Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.81 / $7,920.26 / $20,400.00	Facility		$972.81	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.42 / $510.13 / $2,252.16	Professional		$436.42	$510.13	$2,252.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.61 / $962.05 / $1,302.98	Professional		$557.61	$962.05	$1,302.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $698.89 / $1,005.50 / $1,132.35	Professional		$698.89	$1,005.50	$1,132.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $510.13 / $850.13 / $1,243.08	Facility		$510.13	$850.13	$1,243.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $648.21 / $746.08 / $1,398.36	Professional		$648.21	$746.08	$1,398.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $568.79 / $786.58 / $887.75	Facility		$568.79	$786.58	$887.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $510.13 / $1,049.52 / $5,626.00	Facility		$510.13	$1,049.52	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $737.73 / $1,025.88 / $1,302.98	Professional		$737.73	$1,025.88	$1,302.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $811.22 / $1,087.16 / $1,389.93	Professional		$811.22	$1,087.16	$1,389.93
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 $644.04 / $1,010.21 / $1,403.28	Professional		$644.04	$1,010.21	$1,403.28