Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.51 / $7,920.26 / $20,400.00	Facility		$1,464.51	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.75 / $943.56 / $3,486.35	Professional		$679.75	$943.56	$3,486.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.71 / $1,440.32 / $1,967.74	Professional		$912.71	$1,440.32	$1,967.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,077.54 / $1,544.98 / $1,744.61	Professional		$1,077.54	$1,544.98	$1,744.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $943.56 / $1,409.40 / $2,028.65	Facility		$943.56	$1,409.40	$2,028.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $978.17 / $1,165.45 / $2,138.92	Professional		$978.17	$1,165.45	$2,138.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $915.71 / $1,253.07 / $1,340.67	Facility		$915.71	$1,253.07	$1,340.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $943.56 / $1,582.81 / $5,626.00	Facility		$943.56	$1,582.81	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,163.08 / $1,527.03 / $1,958.18	Professional		$1,163.08	$1,527.03	$1,958.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49,533.96 / $65,887.53 / $75,513.42	Facility		$49,533.96	$65,887.53	$75,513.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,210.38 / $1,641.82 / $2,097.48	Professional		$1,210.38	$1,641.82	$2,097.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $30,636.00 / $43,830.00	Facility		$3,960.00	$30,636.00	$43,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.94 / $1,394.78 / $2,093.75	Professional		$1,005.94	$1,394.78	$2,093.75