Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $5,248.07 / $11,220.18	Facility		$398.11	$5,248.07	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $691.83 / $1,621.81	Professional		$158.49	$691.83	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $724.44 / $2,398.83	Professional		$239.88	$724.44	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $707.95 / $1,819.70	Professional		$281.84	$707.95	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,288.25 / $10,000.00	Facility		$229.09	$1,288.25	$10,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $630.96 / $1,949.84	Professional		$257.04	$630.96	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,949.84	Facility		$1,202.26	$1,445.44	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $707.95 / $1,862.09	Facility		$190.55	$707.95	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $467.74 / $2,089.30	Professional		$79.43	$467.74	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,456.54	Facility		$3,890.45	$5,128.61	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $1,949.84	Professional		$338.84	$602.56	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $851.14 / $2,290.87	Professional		$288.40	$851.14	$2,290.87