Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.62 / $5,116.62 / $13,320.00	Facility		$618.62	$5,116.62	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $1,163.24 / $2,765.73	Professional		$306.45	$1,163.24	$2,765.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.53 / $1,018.96 / $3,402.19	Professional		$525.53	$1,018.96	$3,402.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.19 / $850.35 / $2,961.16	Professional		$582.19	$850.35	$2,961.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.26 / $1,126.18 / $3,264.85	Facility		$416.26	$1,126.18	$3,264.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $497.43 / $1,900.04 / $3,626.76	Professional		$497.43	$1,900.04	$3,626.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $619.62 / $2,288.53 / $2,636.36	Facility		$619.62	$2,288.53	$2,636.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.26 / $2,444.42 / $5,851.00	Facility		$416.26	$2,444.42	$5,851.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $591.36 / $1,521.14 / $3,630.64	Professional		$591.36	$1,521.14	$3,630.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $598.20 / $1,064.63 / $3,608.08	Professional		$598.20	$1,064.63	$3,608.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,926.60 / $2,719.97 / $4,051.31	Professional		$1,926.60	$2,719.97	$4,051.31