Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.33 / $7,920.26 / $20,400.00	Facility		$979.33	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.75 / $1,992.62 / $4,687.71	Professional		$428.75	$1,992.62	$4,687.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.78 / $1,516.23 / $5,470.06	Professional		$526.78	$1,516.23	$5,470.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $817.28 / $1,074.77 / $4,877.50	Professional		$817.28	$1,074.77	$4,877.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $545.51 / $1,471.44 / $5,182.52	Facility		$545.51	$1,471.44	$5,182.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $706.10 / $2,929.85 / $5,309.12	Professional		$706.10	$2,929.85	$5,309.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $738.34 / $3,718.57 / $4,519.14	Facility		$738.34	$3,718.57	$4,519.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $566.49 / $2,480.53 / $5,547.62	Facility		$566.49	$2,480.53	$5,547.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $807.03 / $2,516.44 / $5,494.40	Professional		$807.03	$2,516.44	$5,494.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.34 / $13,653.30 / $16,115.95	Facility		$10,762.34	$13,653.30	$16,115.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $802.62 / $1,385.73 / $5,688.32	Professional		$802.62	$1,385.73	$5,688.32
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 $2,873.76 / $4,190.89 / $6,350.40	Professional		$2,873.76	$4,190.89	$6,350.40