Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,445.44 / $7,943.28	Facility		$275.42	$1,445.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $575.44 / $1,445.44	Professional		$125.89	$575.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $616.60 / $1,621.81	Professional		$190.55	$616.60	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $1,513.56	Professional		$208.93	$309.03	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $645.65 / $6,025.60	Facility		$144.54	$645.65	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $741.31 / $1,479.11	Professional		$208.93	$741.31	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $954.99 / $1,318.26	Facility		$446.68	$954.99	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $602.56 / $1,348.96	Facility		$147.91	$602.56	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $346.74 / $1,621.81	Professional		$79.43	$346.74	$1,621.81
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 $257.04 / $457.09 / $1,584.89	Professional		$257.04	$457.09	$1,584.89
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 $204.17 / $524.81 / $1,548.82	Professional		$204.17	$524.81	$1,548.82