Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.93 / $4,962.67 / $15,341.00	Facility		$904.93	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.48 / $630.97 / $1,900.99	Professional		$359.48	$630.97	$1,900.99
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 $479.59 / $779.86 / $1,359.66	Professional		$479.59	$779.86	$1,359.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.86 / $959.09 / $1,260.06	Professional		$551.86	$959.09	$1,260.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $442.09 / $800.20 / $1,283.18	Facility		$442.09	$800.20	$1,283.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $654.84 / $847.60 / $1,297.57	Professional		$654.84	$847.60	$1,297.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $615.15 / $995.70 / $1,086.74	Facility		$615.15	$995.70	$1,086.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $509.48 / $929.27 / $3,065.00	Facility		$509.48	$929.27	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $698.81 / $979.20 / $1,291.20	Professional		$698.81	$979.20	$1,291.20
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 $741.72 / $1,044.90 / $1,412.25	Professional		$741.72	$1,044.90	$1,412.25
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 $675.90 / $1,007.16 / $1,414.05	Professional		$675.90	$1,007.16	$1,414.05