Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,380.38 / $7,943.28	Facility		$831.76	$1,380.38	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $1,148.15	Professional		$354.81	$549.54	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $1,513.56	Professional		$588.84	$933.25	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,513.56	Professional		$630.96	$912.01	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $794.33 / $1,479.11	Facility		$457.09	$794.33	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,445.44	Professional		$660.69	$954.99	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,230.27	Facility		$645.65	$1,023.29	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $758.58 / $1,288.25	Facility		$467.74	$758.58	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $912.01 / $1,513.56	Professional		$79.43	$912.01	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,548.82	Facility		$891.25	$1,258.93	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,513.56	Professional		$776.25	$1,047.13	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,995.26 / $6,165.95	Facility		$389.05	$1,995.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $912.01 / $1,513.56	Professional		$537.03	$912.01	$1,513.56