Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,818.38 / $13,182.57	Facility		$660.69	$2,818.38	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,348.96 / $2,884.03	Professional		$354.81	$1,348.96	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,202.26 / $3,715.35	Professional		$512.86	$1,202.26	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $3,019.95	Professional		$562.34	$831.76	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,737.80 / $7,079.46	Facility		$436.52	$1,737.80	$7,079.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,548.82 / $3,388.44	Professional		$549.54	$1,548.82	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $3,019.95	Facility		$1,995.26	$2,398.83	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,174.90 / $3,311.31	Facility		$436.52	$1,174.90	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $870.96 / $3,548.13	Professional		$79.43	$870.96	$3,548.13
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 $645.65 / $1,148.15 / $3,235.94	Professional		$645.65	$1,148.15	$3,235.94
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 $549.54 / $1,659.59 / $3,630.78	Professional		$549.54	$1,659.59	$3,630.78