Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,090.30 / $7,943.28	Facility		$691.83	$3,090.30	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,348.96 / $2,630.27	Professional		$354.81	$1,348.96	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,318.26 / $3,801.89	Professional		$489.78	$1,318.26	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $3,311.31	Professional		$588.84	$870.96	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,288.25 / $3,235.94	Facility		$389.05	$1,288.25	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,584.89 / $3,311.31	Professional		$562.34	$1,584.89	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $2,951.21	Facility		$2,041.74	$2,570.40	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,288.25 / $3,235.94	Facility		$398.11	$1,288.25	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,023.29 / $3,801.89	Professional		$407.38	$1,023.29	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,882.50	Facility		$7,762.47	$10,232.93	$12,882.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,698.24 / $3,548.13	Professional		$676.08	$1,698.24	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,318.26 / $3,630.78	Professional		$457.09	$1,318.26	$3,630.78