Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.08 / $3,213.00 / $7,920.26	Facility		$290.08	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.50 / $790.97 / $2,519.23	Professional		$219.50	$790.97	$2,519.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $447.56 / $2,995.57	Professional		$194.75	$447.56	$2,995.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.30 / $248.58 / $2,656.47	Professional		$193.30	$248.58	$2,656.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.03 / $1,012.46 / $2,892.46	Facility		$143.03	$1,012.46	$2,892.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.61 / $1,760.20 / $2,506.96	Professional		$176.61	$1,760.20	$2,506.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $415.50 / $2,176.92 / $2,405.84	Facility		$415.50	$2,176.92	$2,405.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.10 / $1,366.27 / $2,932.13	Facility		$151.10	$1,366.27	$2,932.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.52 / $1,213.36 / $2,873.67	Professional		$271.52	$1,213.36	$2,873.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $265.08 / $409.49 / $3,006.96	Professional		$265.08	$409.49	$3,006.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,529.10 / $2,271.87 / $3,241.57	Professional		$1,529.10	$2,271.87	$3,241.57