Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.28 / $7,920.26 / $59,023.00	Facility		$183.28	$7,920.26	$59,023.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $1,532.57 / $4,641.56	Professional		$75.70	$1,532.57	$4,641.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.15 / $1,635.65 / $4,900.22	Professional		$117.15	$1,635.65	$4,900.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.86 / $236.34 / $5,250.57	Professional		$160.86	$236.34	$5,250.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.09 / $1,811.72 / $5,175.28	Facility		$98.09	$1,811.72	$5,175.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $2,915.40 / $4,906.88	Professional		$125.45	$2,915.40	$4,906.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.40 / $3,568.42 / $3,991.19	Facility		$141.40	$3,568.42	$3,991.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.14 / $2,256.14 / $5,189.16	Facility		$100.14	$2,256.14	$5,189.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.49 / $2,335.85 / $4,610.07	Professional		$157.49	$2,335.85	$4,610.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.43 / $14,892.80 / $17,324.30	Facility		$10,762.43	$14,892.80	$17,324.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.08 / $289.20 / $4,984.63	Professional		$158.08	$289.20	$4,984.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,861.50 / $3,880.81 / $5,550.44	Professional		$2,861.50	$3,880.81	$5,550.44