Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $13,182.57	Facility		$691.83	$1,148.15	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $977.24	Professional		$275.42	$436.52	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,230.27	Professional		$478.63	$776.25	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,258.93	Professional		$537.03	$724.44	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $630.96 / $1,148.15	Facility		$371.54	$630.96	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,202.26	Professional		$524.81	$758.58	$1,202.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $933.25 / $1,023.29	Facility		$616.60	$933.25	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.56 / $1,047.13	Facility		$380.19	$602.56	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $741.31 / $1,258.93	Professional		$79.43	$741.31	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,548.82	Facility		$891.25	$1,258.93	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,288.25	Professional		$630.96	$870.96	$1,288.25
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 $457.09 / $741.31 / $1,258.93	Professional		$457.09	$741.31	$1,258.93