Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,176.47 / $9,972.00 / $20,400.00	Facility		$1,176.47	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.63 / $566.86 / $1,387.40	Professional		$432.63	$566.86	$1,387.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.84 / $1,181.40 / $1,604.88	Professional		$640.84	$1,181.40	$1,604.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $845.49 / $1,226.28 / $1,380.67	Professional		$845.49	$1,226.28	$1,380.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $566.86 / $944.67 / $1,317.13	Facility		$566.86	$944.67	$1,317.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $761.60 / $890.27 / $1,717.70	Professional		$761.60	$890.27	$1,717.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $658.69 / $917.23 / $1,093.44	Facility		$658.69	$917.23	$1,093.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $566.86 / $1,139.00 / $7,952.00	Facility		$566.86	$1,139.00	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $857.43 / $1,251.90 / $1,600.99	Professional		$857.43	$1,251.90	$1,600.99
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 $999.42 / $1,339.06 / $1,711.97	Professional		$999.42	$1,339.06	$1,711.97
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 $779.63 / $1,200.33 / $1,728.84	Professional		$779.63	$1,200.33	$1,728.84