Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $3,235.94 / $7,943.28	Facility		$269.15	$3,235.94	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $380.19 / $616.60	Professional		$95.50	$380.19	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $446.68 / $1,318.26	Professional		$151.36	$446.68	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $407.38 / $1,023.29	Professional		$173.78	$407.38	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $436.52 / $1,479.11	Facility		$128.82	$436.52	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $389.05 / $1,122.02	Professional		$154.88	$389.05	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $691.83 / $851.14	Facility		$457.09	$691.83	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $407.38 / $1,000.00	Facility		$112.20	$407.38	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $457.09 / $1,174.90	Professional		$204.17	$457.09	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,818.38	Facility		$1,737.80	$2,238.72	$2,818.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $1,096.48	Professional		$208.93	$371.54	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $436.52 / $1,174.90	Professional		$173.78	$436.52	$1,174.90