Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,023.29 / $6,606.93	Facility		$141.25	$1,023.29	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $204.17 / $707.95	Professional		$70.79	$204.17	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $380.19 / $1,148.15	Professional		$107.15	$380.19	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $1,000.00	Professional		$120.23	$181.97	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $316.23 / $912.01	Facility		$70.79	$316.23	$912.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $407.38 / $1,071.52	Professional		$112.20	$407.38	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $741.31 / $831.76	Facility		$446.68	$741.31	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $316.23 / $831.76	Facility		$75.86	$316.23	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $208.93 / $1,148.15	Professional		$107.15	$208.93	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $11,481.54 / $14,791.08	Facility		$8,709.64	$11,481.54	$14,791.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $588.84 / $1,023.29	Professional		$131.83	$588.84	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $316.23 / $933.25	Professional		$97.72	$316.23	$933.25