Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.61 / $11,348.00 / $17,320.90	Facility		$897.61	$11,348.00	$17,320.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.06 / $1,711.92 / $13,862.49	Professional		$463.06	$1,711.92	$13,862.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $738.48 / $6,588.67 / $19,408.28	Professional		$738.48	$6,588.67	$19,408.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.69 / $1,271.90 / $16,897.74	Professional		$865.69	$1,271.90	$16,897.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $622.37 / $6,363.66 / $19,424.20	Facility		$622.37	$6,363.66	$19,424.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.33 / $10,669.54 / $21,209.76	Professional		$741.33	$10,669.54	$21,209.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $941.35 / $13,181.18 / $14,598.63	Facility		$941.35	$13,181.18	$14,598.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.37 / $11,270.32 / $19,424.20	Facility		$622.37	$11,270.32	$19,424.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $887.68 / $9,167.35 / $21,107.87	Professional		$887.68	$9,167.35	$21,107.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $65,643.02	Facility		$27,928.04	$36,273.58	$65,643.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $897.94 / $1,598.10 / $20,372.20	Professional		$897.94	$1,598.10	$20,372.20
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 $11,055.78 / $15,986.64 / $22,662.07	Professional		$11,055.78	$15,986.64	$22,662.07