Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $6,025.60 / $14,454.40	Facility		$501.19	$6,025.60	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $630.96 / $3,801.89	Professional		$275.42	$630.96	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,862.09 / $5,888.44	Professional		$331.13	$1,862.09	$5,888.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,995.26 / $5,011.87	Professional		$407.38	$1,995.26	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,691.53 / $10,232.93	Facility		$288.40	$2,691.53	$10,232.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $2,089.30 / $4,365.16	Professional		$380.19	$2,089.30	$4,365.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $4,168.69	Facility		$2,238.72	$3,235.94	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,905.46 / $4,168.69	Facility		$281.84	$1,905.46	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $676.08 / $5,248.07	Professional		$79.43	$676.08	$5,248.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $15,848.93 / $19,054.61	Facility		$12,022.64	$15,848.93	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $5,370.32	Professional		$478.63	$851.14	$5,370.32
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 $407.38 / $1,348.96 / $5,248.07	Professional		$407.38	$1,348.96	$5,248.07