Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.62 / $7,920.26 / $20,400.00	Facility		$449.62	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.73 / $2,036.52 / $7,280.52	Professional		$206.73	$2,036.52	$7,280.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.52 / $2,162.44 / $6,687.96	Professional		$354.52	$2,162.44	$6,687.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.81 / $2,077.41 / $5,511.16	Professional		$386.81	$2,077.41	$5,511.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $283.77 / $2,310.35 / $6,684.93	Facility		$283.77	$2,310.35	$6,684.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $336.78 / $2,842.20 / $6,038.06	Professional		$336.78	$2,842.20	$6,038.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $387.26 / $3,973.88 / $5,201.88	Facility		$387.26	$3,973.88	$5,201.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $283.77 / $4,005.56 / $6,684.93	Facility		$283.77	$4,005.56	$6,684.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.72 / $2,967.46 / $6,672.80	Professional		$398.72	$2,967.46	$6,672.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,539.09 / $11,747.31 / $15,096.26	Facility		$8,539.09	$11,747.31	$15,096.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $403.33 / $717.82 / $6,646.71	Professional		$403.33	$717.82	$6,646.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,959.65 / $5,434.82 / $7,463.26	Professional		$3,959.65	$5,434.82	$7,463.26