Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.77 / $9,647.04 / $20,400.00	Facility		$746.77	$9,647.04	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.07 / $1,647.53 / $9,647.04	Professional		$277.07	$1,647.53	$9,647.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.35 / $3,957.33 / $11,646.71	Professional		$490.35	$3,957.33	$11,646.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $573.99 / $843.33 / $10,038.83	Professional		$573.99	$843.33	$10,038.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $413.56 / $3,782.46 / $13,732.35	Facility		$413.56	$3,782.46	$13,732.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $492.08 / $6,343.77 / $12,610.65	Professional		$492.08	$6,343.77	$12,610.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $574.86 / $7,834.68 / $10,360.16	Facility		$574.86	$7,834.68	$10,360.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $413.56 / $7,193.62 / $13,732.35	Facility		$413.56	$7,193.62	$13,732.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $586.88 / $6,101.00 / $13,285.97	Professional		$586.88	$6,101.00	$13,285.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $593.66 / $1,056.57 / $12,222.75	Professional		$593.66	$1,056.57	$12,222.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,609.17 / $10,854.79 / $14,044.74	Professional		$7,609.17	$10,854.79	$14,044.74