Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,174.90 / $7,943.28	Facility		$645.65	$1,174.90	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $1,174.90	Professional		$281.84	$457.09	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,318.26	Professional		$478.63	$776.25	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,348.96	Professional		$562.34	$758.58	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $645.65 / $1,202.26	Facility		$354.81	$645.65	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,258.93	Professional		$537.03	$794.33	$1,258.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $1,071.52	Facility		$645.65	$954.99	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $616.60 / $1,096.48	Facility		$371.54	$616.60	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $741.31 / $1,318.26	Professional		$79.43	$741.31	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,318.26	Professional		$616.60	$851.14	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,258.93	Professional		$436.52	$741.31	$1,258.93