Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,801.89 / $12,022.64	Facility		$691.83	$3,801.89	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,380.38 / $3,388.44	Professional		$354.81	$1,380.38	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,412.54 / $4,365.16	Professional		$537.03	$1,412.54	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $3,548.13	Professional		$562.34	$851.14	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,187.76 / $10,715.19	Facility		$457.09	$2,187.76	$10,715.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,584.89 / $3,890.45	Professional		$524.81	$1,584.89	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,090.30	Facility		$2,089.30	$2,818.38	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,548.82 / $3,801.89	Facility		$436.52	$1,548.82	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $870.96 / $3,981.07	Professional		$79.43	$870.96	$3,981.07
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 $660.69 / $1,174.90 / $3,801.89	Professional		$660.69	$1,174.90	$3,801.89
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 / $1,905.46 / $3,981.07	Professional		$549.54	$1,905.46	$3,981.07