Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,230.27 / $15,848.93	Facility		$724.44	$1,230.27	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $1,202.26	Professional		$331.13	$478.63	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $1,380.38	Professional		$512.86	$870.96	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,380.38	Professional		$616.60	$912.01	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $724.44 / $1,230.27	Facility		$398.11	$724.44	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,318.26	Professional		$660.69	$891.25	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $1,096.48	Facility		$691.83	$954.99	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $724.44 / $1,096.48	Facility		$416.87	$724.44	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $870.96 / $1,348.96	Professional		$79.43	$870.96	$1,348.96
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 $758.58 / $1,023.29 / $1,380.38	Professional		$758.58	$1,023.29	$1,380.38
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 $501.19 / $794.33 / $1,288.25	Professional		$501.19	$794.33	$1,288.25