Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.06 / $5,649.00 / $15,341.00	Facility		$933.06	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.45 / $450.65 / $2,138.91	Professional		$399.45	$450.65	$2,138.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.52 / $940.70 / $1,281.33	Professional		$539.52	$940.70	$1,281.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $675.05 / $973.25 / $1,095.78	Professional		$675.05	$973.25	$1,095.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.65 / $751.01 / $1,116.27	Facility		$450.65	$751.01	$1,116.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $651.00 / $735.32 / $1,378.19	Professional		$651.00	$735.32	$1,378.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $540.29 / $771.84 / $873.01	Facility		$540.29	$771.84	$873.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.65 / $912.05 / $1,110.38	Facility		$450.65	$912.05	$1,110.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $700.92 / $996.84 / $1,275.11	Professional		$700.92	$996.84	$1,275.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,884.55 / $1,884.55 / $1,884.55	Facility		$1,884.55	$1,884.55	$1,884.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $795.85 / $1,069.10 / $1,366.85	Professional		$795.85	$1,069.10	$1,366.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.12 / $871.00 / $1,376.68	Professional		$638.12	$871.00	$1,376.68