Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.74 / $7,348.86 / $20,400.00	Facility		$476.74	$7,348.86	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $1,165.67 / $4,227.39	Professional		$212.75	$1,165.67	$4,227.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.96 / $1,884.04 / $5,521.68	Professional		$345.96	$1,884.04	$5,521.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.03 / $593.61 / $4,799.99	Professional		$404.03	$593.61	$4,799.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $292.54 / $1,812.97 / $6,820.82	Facility		$292.54	$1,812.97	$6,820.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $3,042.19 / $6,047.50	Professional		$344.78	$3,042.19	$6,047.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $440.86 / $3,755.24 / $4,911.18	Facility		$440.86	$3,755.24	$4,911.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $292.54 / $3,356.98 / $6,820.82	Facility		$292.54	$3,356.98	$6,820.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $415.36 / $2,878.82 / $6,274.36	Professional		$415.36	$2,878.82	$6,274.36
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 $418.22 / $744.32 / $5,814.81	Professional		$418.22	$744.32	$5,814.81
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 $3,538.61 / $4,963.66 / $6,531.44	Professional		$3,538.61	$4,963.66	$6,531.44