Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $6,456.54 / $15,488.17	Facility		$851.14	$6,456.54	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $1,202.26	Professional		$295.12	$501.19	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $1,318.26	Professional		$524.81	$851.14	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $933.25 / $1,071.52	Professional		$467.74	$933.25	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,023.29 / $15,488.17	Facility		$467.74	$1,023.29	$15,488.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,288.25	Professional		$562.34	$891.25	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $933.25 / $977.24	Facility		$794.33	$933.25	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $724.44 / $1,202.26	Facility		$467.74	$724.44	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $933.25 / $1,412.54	Professional		$79.43	$933.25	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,220.18 / $14,125.38	Facility		$8,317.64	$11,220.18	$14,125.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,445.44	Professional		$660.69	$977.24	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,318.26	Professional		$630.96	$891.25	$1,318.26