Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,890.45 / $7,413.10	Facility		$363.08	$3,890.45	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $3,162.28 / $6,918.31	Professional		$165.96	$3,162.28	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $776.25 / $8,912.51	Professional		$234.42	$776.25	$8,912.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $3,715.35 / $8,912.51	Professional		$269.15	$3,715.35	$8,912.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $3,235.94 / $6,918.31	Facility		$218.78	$3,235.94	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $3,630.78 / $8,128.31	Professional		$239.88	$3,630.78	$8,128.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,370.32 / $5,888.44	Facility		$3,630.78	$5,370.32	$5,888.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $3,019.95 / $7,413.10	Facility		$186.21	$3,019.95	$7,413.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $446.68 / $7,762.47	Professional		$79.43	$446.68	$7,762.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $19,498.45	Facility		$12,022.64	$16,218.10	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $562.34 / $7,244.36	Professional		$316.23	$562.34	$7,244.36
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 $251.19 / $3,311.31 / $7,943.28	Professional		$251.19	$3,311.31	$7,943.28