Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.34 / $4,283.46 / $7,920.26	Facility		$360.34	$4,283.46	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.28 / $3,699.28 / $10,019.19	Professional		$166.28	$3,699.28	$10,019.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $2,548.48 / $8,380.36	Professional		$282.58	$2,548.48	$8,380.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.14 / $2,606.63 / $6,930.29	Professional		$311.14	$2,606.63	$6,930.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $232.99 / $2,606.63 / $8,007.63	Facility		$232.99	$2,606.63	$8,007.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.05 / $3,968.43 / $8,677.62	Professional		$262.05	$3,968.43	$8,677.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $320.31 / $5,066.16 / $6,043.84	Facility		$320.31	$5,066.16	$6,043.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.99 / $4,805.06 / $7,984.90	Facility		$232.99	$4,805.06	$7,984.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.95 / $3,738.54 / $8,339.62	Professional		$313.95	$3,738.54	$8,339.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $312.69 / $556.51 / $8,247.99	Professional		$312.69	$556.51	$8,247.99
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 $4,789.93 / $7,429.47 / $9,261.24	Professional		$4,789.93	$7,429.47	$9,261.24