Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.20 / $4,704.00 / $7,920.26	Facility		$368.20	$4,704.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.84 / $425.42 / $4,647.83	Professional		$148.84	$425.42	$4,647.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.45 / $2,407.80 / $7,921.12	Professional		$297.45	$2,407.80	$7,921.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.91 / $2,439.85 / $6,485.17	Professional		$328.91	$2,439.85	$6,485.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.41 / $2,439.85 / $7,745.61	Facility		$247.41	$2,439.85	$7,745.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $278.60 / $4,037.35 / $8,128.07	Professional		$278.60	$4,037.35	$8,128.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $290.33 / $4,665.96 / $5,780.68	Facility		$290.33	$4,665.96	$5,780.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.41 / $4,647.83 / $7,621.10	Facility		$247.41	$4,647.83	$7,621.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $336.05 / $3,531.07 / $7,882.62	Professional		$336.05	$3,531.07	$7,882.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,335.54 / $18,246.18 / $23,193.18	Facility		$14,335.54	$18,246.18	$23,193.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $597.99 / $7,879.41	Professional		$336.00	$597.99	$7,879.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,045.60 / $6,746.07 / $8,963.06	Professional		$5,045.60	$6,746.07	$8,963.06