Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.01 / $4,684.68 / $7,920.26	Facility		$719.01	$4,684.68	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.10 / $464.83 / $3,762.82	Professional		$158.10	$464.83	$3,762.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.32 / $944.32 / $5,726.68	Professional		$368.32	$944.32	$5,726.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $677.15 / $1,955.80 / $5,170.54	Professional		$677.15	$1,955.80	$5,170.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $242.32 / $457.56 / $4,154.62	Facility		$242.32	$457.56	$4,154.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.57 / $623.36 / $4,671.85	Professional		$266.57	$623.36	$4,671.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $278.24 / $2,140.65 / $4,265.22	Facility		$278.24	$2,140.65	$4,265.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.32 / $470.61 / $5,031.41	Facility		$242.32	$470.61	$5,031.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $391.68 / $893.11 / $5,563.06	Professional		$391.68	$893.11	$5,563.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,439.04 / $22,566.02 / $25,992.15	Facility		$17,439.04	$22,566.02	$25,992.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $593.50 / $1,028.50 / $6,054.47	Professional		$593.50	$1,028.50	$6,054.47
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 $373.86 / $3,567.75 / $6,716.39	Professional		$373.86	$3,567.75	$6,716.39