Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.66 / $5,077.18 / $21,735.00	Facility		$561.66	$5,077.18	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.48 / $1,373.46 / $3,594.85	Professional		$285.48	$1,373.46	$3,594.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.05 / $1,271.16 / $3,669.06	Professional		$461.05	$1,271.16	$3,669.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.70 / $795.88 / $3,193.39	Professional		$541.70	$795.88	$3,193.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $390.28 / $1,215.84 / $3,694.95	Facility		$390.28	$1,215.84	$3,694.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $463.27 / $2,046.81 / $4,068.81	Professional		$463.27	$2,046.81	$4,068.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $558.36 / $2,413.38 / $2,879.12	Facility		$558.36	$2,413.38	$2,879.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $390.28 / $2,129.36 / $3,694.95	Facility		$390.28	$2,129.36	$3,694.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $553.60 / $1,842.56 / $4,146.12	Professional		$553.60	$1,842.56	$4,146.12
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 $558.71 / $994.35 / $3,872.43	Professional		$558.71	$994.35	$3,872.43
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 $2,232.37 / $3,022.56 / $4,348.14	Professional		$2,232.37	$3,022.56	$4,348.14