Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.37 / $7,920.26 / $21,735.00	Facility		$739.37	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.36 / $1,801.17 / $4,064.05	Professional		$324.36	$1,801.17	$4,064.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.10 / $1,703.03 / $4,924.93	Professional		$538.10	$1,703.03	$4,924.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.22 / $925.93 / $4,268.54	Professional		$630.22	$925.93	$4,268.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $1,622.21 / $5,235.64	Facility		$450.88	$1,622.21	$5,235.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $544.38 / $2,734.23 / $5,435.32	Professional		$544.38	$2,734.23	$5,435.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $658.56 / $3,360.13 / $4,060.20	Facility		$658.56	$3,360.13	$4,060.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $2,872.96 / $5,235.64	Facility		$450.88	$2,872.96	$5,235.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $647.67 / $2,575.31 / $5,594.00	Professional		$647.67	$2,575.31	$5,594.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,963.09 / $17,821.54 / $22,636.72	Facility		$13,963.09	$17,821.54	$22,636.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $655.16 / $1,166.03 / $5,185.67	Professional		$655.16	$1,166.03	$5,185.67
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 $3,034.21 / $4,241.99 / $5,768.55	Professional		$3,034.21	$4,241.99	$5,768.55