Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.06 / $8,180.00 / $20,400.00	Facility		$1,005.06	$8,180.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.99 / $817.13 / $3,389.84	Professional		$625.99	$817.13	$3,389.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.86 / $1,421.12 / $1,899.89	Professional		$876.86	$1,421.12	$1,899.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,006.55 / $1,423.48 / $1,620.45	Professional		$1,006.55	$1,423.48	$1,620.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $617.30 / $1,168.50 / $1,756.83	Facility		$617.30	$1,168.50	$1,756.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.28 / $1,471.64 / $2,054.03	Professional		$1,033.28	$1,471.64	$2,054.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $902.20 / $1,226.16 / $1,304.49	Facility		$902.20	$1,226.16	$1,304.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $617.30 / $1,266.82 / $1,756.83	Facility		$617.30	$1,266.82	$1,756.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,152.41 / $1,527.94 / $1,985.84	Professional		$1,152.41	$1,527.94	$1,985.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,928.40 / $58,697.58 / $69,447.28	Facility		$44,928.40	$58,697.58	$69,447.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,220.76 / $1,559.94 / $2,054.86	Professional		$1,220.76	$1,559.94	$2,054.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $30,636.00 / $55,640.00	Facility		$3,960.00	$30,636.00	$55,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,003.08 / $1,424.22 / $2,051.21	Professional		$1,003.08	$1,424.22	$2,051.21