Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,096.48 / $7,943.28	Facility		$562.34	$1,096.48	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $501.19 / $1,348.96	Professional		$257.04	$501.19	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $1,258.93	Professional		$426.58	$707.95	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $1,122.02	Professional		$446.68	$630.96	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $691.83 / $1,479.11	Facility		$363.08	$691.83	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $776.25 / $1,096.48	Professional		$426.58	$776.25	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $954.99	Facility		$602.56	$912.01	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $630.96 / $1,148.15	Facility		$346.74	$630.96	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $741.31 / $1,174.90	Professional		$79.43	$741.31	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,398.83	Facility		$1,412.54	$1,995.26	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,174.90	Professional		$575.44	$776.25	$1,174.90
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 $436.52 / $741.31 / $1,174.90	Professional		$436.52	$741.31	$1,174.90