Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,754.23 / $13,182.57	Facility		$758.58	$2,754.23	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,288.25 / $2,951.21	Professional		$398.11	$1,288.25	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,174.90 / $3,548.13	Professional		$602.56	$1,174.90	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $3,235.94	Professional		$676.08	$1,000.00	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,659.59 / $4,073.80	Facility		$512.86	$1,659.59	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,819.70 / $3,235.94	Professional		$630.96	$1,819.70	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $2,570.40	Facility		$1,621.81	$2,290.87	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,445.44 / $3,162.28	Facility		$501.19	$1,445.44	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $977.24 / $3,235.94	Professional		$79.43	$977.24	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,318.26 / $3,162.28	Professional		$741.31	$1,318.26	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,348.96 / $3,235.94	Professional		$602.56	$1,348.96	$3,235.94