Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,388.44 / $21,877.62	Facility		$588.84	$3,388.44	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,071.52 / $2,754.23	Professional		$288.40	$1,071.52	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,258.93 / $3,890.45	Professional		$457.09	$1,258.93	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $3,311.31	Professional		$478.63	$741.31	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,137.96 / $20,417.38	Facility		$398.11	$2,137.96	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,513.56 / $3,715.35	Professional		$426.58	$1,513.56	$3,715.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $2,884.03	Facility		$1,905.46	$2,511.89	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,412.54 / $3,467.37	Facility		$363.08	$1,412.54	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $794.33 / $3,630.78	Professional		$79.43	$794.33	$3,630.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,197.01 / $22,387.21	Facility		$13,803.84	$18,197.01	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $3,388.44	Professional		$562.34	$1,000.00	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,737.80 / $3,715.35	Professional		$467.74	$1,737.80	$3,715.35