Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.99 / $7,920.26 / $20,400.00	Facility		$707.99	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.06 / $1,690.76 / $6,834.70	Professional		$314.06	$1,690.76	$6,834.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.74 / $1,075.17 / $3,107.03	Professional		$549.74	$1,075.17	$3,107.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $617.08 / $898.59 / $2,719.47	Professional		$617.08	$898.59	$2,719.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.51 / $1,035.68 / $3,293.28	Facility		$434.51	$1,035.68	$3,293.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $529.45 / $1,753.26 / $3,327.15	Professional		$529.45	$1,753.26	$3,327.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $628.46 / $2,135.10 / $2,549.92	Facility		$628.46	$2,135.10	$2,549.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.51 / $2,019.63 / $5,626.00	Facility		$434.51	$2,019.63	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $623.28 / $1,509.60 / $3,456.58	Professional		$623.28	$1,509.60	$3,456.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $632.51 / $1,125.70 / $3,292.56	Professional		$632.51	$1,125.70	$3,292.56
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 $1,839.06 / $2,688.92 / $3,662.65	Professional		$1,839.06	$2,688.92	$3,662.65