Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.33 / $4,962.67 / $15,341.00	Facility		$690.33	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.44 / $1,094.76 / $3,630.44	Professional		$332.44	$1,094.76	$3,630.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.73 / $1,049.59 / $3,075.18	Professional		$534.73	$1,049.59	$3,075.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.28 / $876.78 / $2,742.76	Professional		$602.28	$876.78	$2,742.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $423.28 / $1,043.91 / $2,821.23	Facility		$423.28	$1,043.91	$2,821.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $516.63 / $1,397.71 / $3,353.67	Professional		$516.63	$1,397.71	$3,353.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $638.51 / $1,908.67 / $2,287.38	Facility		$638.51	$1,908.67	$2,287.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.28 / $1,824.15 / $3,933.49	Facility		$423.28	$1,824.15	$3,933.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $600.39 / $1,265.00 / $3,221.84	Professional		$600.39	$1,265.00	$3,221.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $16,642.54 / $20,571.93	Facility		$12,954.82	$16,642.54	$20,571.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.32 / $1,096.89 / $3,318.15	Professional		$616.32	$1,096.89	$3,318.15
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 $1,630.72 / $2,127.21 / $3,691.11	Professional		$1,630.72	$2,127.21	$3,691.11