Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,570.40 / $7,943.28	Facility		$630.96	$2,570.40	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $977.24 / $2,570.40	Professional		$331.13	$977.24	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,047.13 / $3,162.28	Professional		$512.86	$1,047.13	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $3,019.95	Professional		$575.44	$851.14	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,348.96 / $3,715.35	Facility		$426.58	$1,348.96	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,202.26 / $3,019.95	Professional		$537.03	$1,202.26	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $2,290.87	Facility		$1,348.96	$1,995.26	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,258.93 / $2,691.53	Facility		$398.11	$1,258.93	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $812.83 / $2,951.21	Professional		$79.43	$812.83	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $21,379.62	Facility		$12,882.50	$17,378.01	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,096.48 / $2,951.21	Professional		$616.60	$1,096.48	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,122.02 / $3,019.95	Professional		$501.19	$1,122.02	$3,019.95