Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.56 / $6,588.80 / $15,650.47	Facility		$821.56	$6,588.80	$15,650.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.20 / $460.72 / $1,088.00	Professional		$269.20	$460.72	$1,088.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.76 / $895.98 / $1,423.93	Professional		$602.76	$895.98	$1,423.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $772.97 / $955.68 / $1,155.61	Professional		$772.97	$955.68	$1,155.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $539.13 / $701.34 / $1,436.07	Facility		$539.13	$701.34	$1,436.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $778.70 / $859.32 / $1,547.96	Professional		$778.70	$859.32	$1,547.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $637.12 / $928.62 / $970.16	Facility		$637.12	$928.62	$970.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $567.75 / $803.20 / $1,436.07	Facility		$567.75	$803.20	$1,436.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $829.02 / $931.75 / $1,410.22	Professional		$829.02	$931.75	$1,410.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,229.67 / $14,490.61	Facility		$8,391.79	$11,229.67	$14,490.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $885.03 / $1,008.19 / $1,533.69	Professional		$885.03	$1,008.19	$1,533.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.41 / $887.03 / $1,516.72	Professional		$651.41	$887.03	$1,516.72