Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,801.89 / $13,182.57	Facility		$912.01	$3,801.89	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,445.44 / $2,951.21	Professional		$436.52	$1,445.44	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,698.24 / $5,011.87	Professional		$630.96	$1,698.24	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,548.82 / $3,890.45	Professional		$758.58	$1,548.82	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,238.72 / $4,570.88	Facility		$537.03	$2,238.72	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,398.83 / $3,630.78	Professional		$707.95	$2,398.83	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $3,548.13	Facility		$2,570.40	$3,090.30	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,905.46 / $4,168.69	Facility		$537.03	$1,905.46	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,174.90 / $4,365.16	Professional		$79.43	$1,174.90	$4,365.16
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 $891.25 / $1,584.89 / $4,265.80	Professional		$891.25	$1,584.89	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,378.01 / $23,988.33	Facility		$2,884.03	$17,378.01	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,862.09 / $4,570.88	Professional		$707.95	$1,862.09	$4,570.88