Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,951.21 / $13,182.57	Facility		$616.60	$2,951.21	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,122.02 / $2,511.89	Professional		$323.59	$1,122.02	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,023.29 / $3,548.13	Professional		$489.78	$1,023.29	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $3,235.94	Professional		$549.54	$812.83	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,737.80 / $4,168.69	Facility		$416.87	$1,737.80	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,819.70 / $3,311.31	Professional		$512.86	$1,819.70	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $2,454.71	Facility		$1,737.80	$2,344.23	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,445.44 / $3,162.28	Facility		$416.87	$1,445.44	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $794.33 / $3,311.31	Professional		$79.43	$794.33	$3,311.31
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 $602.56 / $1,071.52 / $3,162.28	Professional		$602.56	$1,071.52	$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 $489.78 / $1,445.44 / $3,311.31	Professional		$489.78	$1,445.44	$3,311.31