Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $6,025.60 / $8,709.64	Facility		$109.65	$6,025.60	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $1,000.00 / $3,019.95	Professional		$91.20	$1,000.00	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $14,791.08	Professional		$147.91	$223.87	$14,791.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,659.59 / $7,762.47	Facility		$109.65	$1,659.59	$7,762.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $1,000.00 / $12,302.69	Professional		$147.91	$1,000.00	$12,302.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,949.84 / $6,165.95	Facility		$588.84	$1,949.84	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,096.48 / $11,220.18	Facility		$100.00	$1,096.48	$11,220.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $3,311.31 / $8,317.64	Professional		$181.97	$3,311.31	$8,317.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,128.61 / $7,244.36	Facility		$1,513.56	$5,128.61	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $2,754.23 / $10,471.29	Professional		$177.83	$2,754.23	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,365.16 / $18,197.01	Facility		$389.05	$4,365.16	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $1,584.89 / $5,011.87	Professional		$138.04	$1,584.89	$5,011.87