Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $7,943.28	Facility		$741.31	$977.24	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $1,096.48	Professional		$323.59	$478.63	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,288.25	Professional		$512.86	$812.83	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,148.15	Professional		$512.86	$776.25	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $707.95 / $1,288.25	Facility		$416.87	$707.95	$1,288.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,174.90	Professional		$575.44	$870.96	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $954.99 / $1,202.26	Facility		$741.31	$954.99	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $1,174.90	Facility		$407.38	$676.08	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $851.14 / $1,258.93	Professional		$79.43	$851.14	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,912.51 / $10,715.19	Facility		$5,370.32	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,288.25	Professional		$724.44	$954.99	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $12,589.25	Facility		$1,096.48	$3,715.35	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,318.26	Professional		$549.54	$851.14	$1,318.26