Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.90 / $7,074.00 / $13,320.00	Facility		$379.90	$7,074.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.99 / $1,659.71 / $4,106.83	Professional		$158.99	$1,659.71	$4,106.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.75 / $1,567.95 / $4,590.18	Professional		$275.75	$1,567.95	$4,590.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.76 / $478.61 / $3,981.10	Professional		$325.76	$478.61	$3,981.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $232.68 / $1,503.23 / $4,590.85	Facility		$232.68	$1,503.23	$4,590.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.80 / $2,526.08 / $5,021.55	Professional		$281.80	$2,526.08	$5,021.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $335.77 / $2,954.88 / $3,620.01	Facility		$335.77	$2,954.88	$3,620.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.68 / $2,699.80 / $4,590.85	Facility		$232.68	$2,699.80	$4,590.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $334.08 / $2,348.35 / $5,171.04	Professional		$334.08	$2,348.35	$5,171.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $21,136.56	Facility		$12,954.82	$17,563.07	$21,136.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $337.94 / $601.45 / $4,773.50	Professional		$337.94	$601.45	$4,773.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,809.56 / $4,126.38 / $5,359.93	Professional		$2,809.56	$4,126.38	$5,359.93