Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $4,786.30 / $6,918.31	Facility		$371.54	$4,786.30	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $691.83 / $4,897.79	Professional		$154.88	$691.83	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $812.83 / $8,317.64	Professional		$251.19	$812.83	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $2,570.40 / $6,456.54	Professional		$281.84	$2,570.40	$6,456.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $3,311.31 / $6,606.93	Facility		$223.87	$3,311.31	$6,606.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $2,630.27 / $7,079.46	Professional		$234.42	$2,630.27	$7,079.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,011.87 / $5,370.32	Facility		$3,090.30	$5,011.87	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,570.40 / $6,606.93	Facility		$177.83	$2,570.40	$6,606.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $489.78 / $7,413.10	Professional		$177.83	$489.78	$7,413.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $18,620.87 / $22,908.68	Facility		$14,454.40	$18,620.87	$22,908.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $6,918.31	Professional		$338.84	$602.56	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $2,951.21 / $8,128.31	Professional		$275.42	$2,951.21	$8,128.31