Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $9,549.93 / $14,125.38	Facility		$1,202.26	$9,549.93	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,000.00 / $2,344.23	Professional		$338.84	$1,000.00	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $954.99 / $2,818.38	Professional		$524.81	$954.99	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $2,398.83	Professional		$562.34	$851.14	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,630.27 / $12,882.50	Facility		$537.03	$2,630.27	$12,882.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,479.11 / $2,570.40	Professional		$489.78	$1,479.11	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,187.76	Facility		$1,513.56	$1,819.70	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,096.48 / $2,570.40	Facility		$436.52	$1,096.48	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $831.76 / $2,570.40	Professional		$79.43	$831.76	$2,570.40
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 $630.96 / $1,778.28 / $2,630.27	Professional		$630.96	$1,778.28	$2,630.27
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 $524.81 / $1,348.96 / $2,754.23	Professional		$524.81	$1,348.96	$2,754.23