Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $4,786.30 / $6,606.93	Facility		$676.08	$4,786.30	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $457.09 / $3,311.31	Professional		$162.18	$457.09	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $851.14 / $5,495.41	Professional		$275.42	$851.14	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $2,187.76 / $5,623.41	Professional		$562.34	$2,187.76	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $467.74 / $4,466.84	Facility		$234.42	$467.74	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $616.60 / $4,897.79	Professional		$269.15	$616.60	$4,897.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $3,388.44 / $4,265.80	Facility		$295.12	$3,388.44	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $457.09 / $4,073.80	Facility		$218.78	$457.09	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $691.83 / $5,128.61	Professional		$79.43	$691.83	$5,128.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $22,387.21 / $27,542.29	Facility		$17,378.01	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $891.25 / $5,248.07	Professional		$446.68	$891.25	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $27,542.29	Facility		$3,019.95	$20,892.96	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $776.25 / $4,466.84	Professional		$275.42	$776.25	$4,466.84