Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $10,715.19 / $18,620.87	Facility		$954.99	$10,715.19	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,380.38	Professional		$691.83	$812.83	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,548.82 / $2,454.71	Professional		$741.31	$1,548.82	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,737.80	Professional		$1,071.52	$1,412.54	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $13,803.84	Facility		$691.83	$954.99	$13,803.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $8,912.51	Professional		$724.44	$891.25	$8,912.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $616.60 / $676.08	Facility		$371.54	$616.60	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $933.25 / $1,412.54	Facility		$346.74	$933.25	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,202.26 / $1,995.26	Professional		$79.43	$1,202.26	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,113.11 / $40,738.03 / $51,286.14	Facility		$33,113.11	$40,738.03	$51,286.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $1,995.26	Professional		$1,412.54	$1,584.89	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $57,543.99	Facility		$3,311.31	$26,302.68	$57,543.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,089.30	Professional		$1,000.00	$1,479.11	$2,089.30