Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $4,073.80 / $19,054.61	Facility		$165.96	$4,073.80	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $1,548.82 / $3,630.78	Professional		$81.28	$1,548.82	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $1,445.44 / $4,786.30	Professional		$102.33	$1,445.44	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $5,495.41	Professional		$138.04	$218.78	$5,495.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $2,137.96 / $4,677.35	Facility		$91.20	$2,137.96	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,884.03 / $5,011.87	Professional		$125.89	$2,884.03	$5,011.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $3,981.07	Facility		$2,630.27	$3,548.13	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $1,737.80 / $4,677.35	Facility		$83.18	$1,737.80	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $229.09 / $4,570.88	Professional		$79.43	$229.09	$4,570.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $14,454.40 / $17,378.01	Facility		$10,715.19	$14,454.40	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $4,677.35	Professional		$158.49	$288.40	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $1,737.80 / $4,897.79	Professional		$117.49	$1,737.80	$4,897.79