Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,621.81 / $7,943.28	Facility		$977.24	$1,621.81	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,584.89	Professional		$524.81	$660.69	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,174.90 / $1,862.09	Professional		$724.44	$1,174.90	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,380.38 / $1,737.80	Professional		$794.33	$1,380.38	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $977.24 / $1,737.80	Facility		$588.84	$977.24	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,737.80	Professional		$1,047.13	$1,258.93	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,412.54	Facility		$977.24	$1,318.26	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,513.56	Facility		$676.08	$1,023.29	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,258.93 / $1,819.70	Professional		$79.43	$1,258.93	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,413.10	Facility		$4,570.88	$5,888.44	$7,413.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $1,905.46	Professional		$1,023.29	$1,445.44	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,912.51	Facility		$1,698.24	$5,754.40	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,819.70	Professional		$812.83	$1,230.27	$1,819.70