Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $4,786.30 / $13,182.57	Facility		$436.52	$4,786.30	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,122.02 / $4,265.80	Professional		$223.87	$1,122.02	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,905.46 / $5,888.44	Professional		$338.84	$1,905.46	$5,888.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $4,786.30	Professional		$354.81	$549.54	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,818.38 / $7,413.10	Facility		$295.12	$2,818.38	$7,413.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $2,570.40 / $5,248.07	Professional		$331.13	$2,570.40	$5,248.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $4,897.79	Facility		$3,162.28	$3,715.35	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,862.09 / $5,623.41	Facility		$275.42	$1,862.09	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $549.54 / $5,495.41	Professional		$79.43	$549.54	$5,495.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $21,379.62	Facility		$12,882.50	$17,378.01	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $5,128.61	Professional		$416.87	$741.31	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $2,570.40 / $6,025.60	Professional		$354.81	$2,570.40	$6,025.60