Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.33 / $3,740.00 / $17,166.73	Facility		$397.33	$3,740.00	$17,166.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.45 / $399.76 / $962.73	Professional		$186.45	$399.76	$962.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.94 / $512.79 / $1,054.46	Professional		$291.94	$512.79	$1,054.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.23 / $467.07 / $933.39	Professional		$370.23	$467.07	$933.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $253.62 / $596.62 / $1,010.94	Facility		$253.62	$596.62	$1,010.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.14 / $608.44 / $921.88	Professional		$309.14	$608.44	$921.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $393.82 / $740.89 / $818.34	Facility		$393.82	$740.89	$818.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.62 / $605.30 / $1,158.84	Facility		$253.62	$605.30	$1,158.84
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $151.47 / $151.47 / $151.47	Facility	80	$151.47	$151.47	$151.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $128.76 / $128.76 / $128.76	Facility	AS	$128.76	$128.76	$128.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $345.60 / $578.19 / $1,031.35	Professional		$345.60	$578.19	$1,031.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $349.60 / $575.53 / $1,113.31	Professional		$349.60	$575.53	$1,113.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.07 / $803.16 / $1,217.29	Professional		$598.07	$803.16	$1,217.29