Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,621.81 / $13,182.57	Facility		$912.01	$1,621.81	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,479.11	Professional		$446.68	$660.69	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,202.26 / $1,819.70	Professional		$630.96	$1,202.26	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,584.89	Professional		$691.83	$1,096.48	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $954.99 / $1,819.70	Facility		$588.84	$954.99	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,548.82	Professional		$724.44	$1,023.29	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,318.26	Facility		$812.83	$1,174.90	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $870.96 / $1,445.44	Facility		$549.54	$870.96	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,122.02 / $1,659.59	Professional		$79.43	$1,122.02	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,022.64	Facility		$7,413.10	$10,232.93	$12,022.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,698.24	Professional		$891.25	$1,258.93	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,454.40	Facility		$1,995.26	$10,000.00	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $1,698.24	Professional		$676.08	$1,096.48	$1,698.24