Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,801.89 / $3,801.89	Facility		$812.83	$3,801.89	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,023.29	Professional		$562.34	$660.69	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,454.71	Facility		$1,380.38	$1,380.38	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,819.70 / $2,238.72	Professional		$851.14	$1,819.70	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $851.14 / $1,148.15	Facility		$812.83	$851.14	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,174.90	Professional		$812.83	$933.25	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,174.90	Facility		$851.14	$851.14	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,148.15 / $2,137.96	Facility		$630.96	$1,148.15	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $933.25 / $1,174.90	Professional		$79.43	$933.25	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,511.89 / $3,311.31	Facility		$1,258.93	$2,511.89	$3,311.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $1,023.29	Professional		$676.08	$724.44	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,348.96	Facility		$1,023.29	$1,023.29	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $1,023.29	Professional		$354.81	$354.81	$1,023.29