Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $5,495.41 / $13,803.84	Facility		$416.87	$5,495.41	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $1,071.52 / $3,981.07	Professional		$181.97	$1,071.52	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $2,137.96 / $7,079.46	Professional		$281.84	$2,137.96	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $2,511.89 / $6,025.60	Professional		$354.81	$2,511.89	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,511.89 / $7,762.47	Facility		$257.04	$2,511.89	$7,762.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $3,019.95 / $5,754.40	Professional		$323.59	$3,019.95	$5,754.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,265.80 / $5,248.07	Facility		$3,090.30	$4,265.80	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,511.89 / $5,754.40	Facility		$251.19	$2,511.89	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $537.03 / $6,165.95	Professional		$79.43	$537.03	$6,165.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,022.64 / $14,791.08	Facility		$8,511.38	$12,022.64	$14,791.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $724.44 / $5,888.44	Professional		$407.38	$724.44	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,584.89 / $6,456.54	Professional		$323.59	$1,584.89	$6,456.54