Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.32 / $5,881.61 / $7,920.26	Facility		$480.32	$5,881.61	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.71 / $2,449.55 / $4,910.52	Professional		$216.71	$2,449.55	$4,910.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.73 / $2,489.31 / $8,182.70	Professional		$413.73	$2,489.31	$8,182.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.50 / $2,524.75 / $6,700.91	Professional		$458.50	$2,524.75	$6,700.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.24 / $2,524.75 / $7,968.87	Facility		$344.24	$2,524.75	$7,968.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.09 / $3,848.58 / $8,415.56	Professional		$389.09	$3,848.58	$8,415.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $471.12 / $4,907.68 / $5,967.00	Facility		$471.12	$4,907.68	$5,967.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.24 / $4,781.80 / $7,865.05	Facility		$344.24	$4,781.80	$7,865.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $468.14 / $3,640.55 / $8,142.93	Professional		$468.14	$3,640.55	$8,142.93
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 $468.07 / $833.04 / $8,144.71	Professional		$468.07	$833.04	$8,144.71
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 $5,097.04 / $6,968.83 / $9,213.87	Professional		$5,097.04	$6,968.83	$9,213.87