Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $9,549.93 / $17,378.01	Facility		$426.58	$9,549.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $630.96	Professional		$251.19	$389.05	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $794.33	Professional		$537.03	$707.95	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $602.56 / $17,378.01	Facility		$338.84	$602.56	$17,378.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $7,079.46	Professional		$309.03	$489.78	$7,079.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $239.88 / $257.04	Facility		$199.53	$239.88	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $363.08 / $602.56	Facility		$245.47	$363.08	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $537.03 / $1,995.26	Professional		$79.43	$537.03	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,148.15 / $11,220.18	Facility		$602.56	$1,148.15	$11,220.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,023.29	Professional		$630.96	$794.33	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $794.33	Professional		$389.05	$537.03	$794.33