Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.14 / $4,962.67 / $15,341.00	Facility		$327.14	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $1,696.61 / $7,330.96	Professional		$142.43	$1,696.61	$7,330.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.97 / $1,284.30 / $3,758.13	Professional		$236.97	$1,284.30	$3,758.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.83 / $405.28 / $3,227.23	Professional		$275.83	$405.28	$3,227.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.28 / $1,219.09 / $3,999.77	Facility		$201.28	$1,219.09	$3,999.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $238.57 / $2,048.94 / $4,073.04	Professional		$238.57	$2,048.94	$4,073.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $284.32 / $2,525.15 / $3,192.55	Facility		$284.32	$2,525.15	$3,192.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.28 / $2,400.10 / $3,999.77	Facility		$201.28	$2,400.10	$3,999.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.36 / $2,018.28 / $4,390.89	Professional		$287.36	$2,018.28	$4,390.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $290.68 / $517.34 / $4,039.19	Professional		$290.68	$517.34	$4,039.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,477.80 / $3,335.51 / $4,573.45	Professional		$2,477.80	$3,335.51	$4,573.45