Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,445.44 / $6,606.93	Facility		$891.25	$1,445.44	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,445.44	Professional		$457.09	$575.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,659.59	Professional		$645.65	$1,047.13	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,096.48 / $1,513.56	Professional		$660.69	$1,096.48	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $954.99 / $1,584.89	Facility		$512.86	$954.99	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,548.82	Professional		$794.33	$1,096.48	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,288.25	Facility		$891.25	$1,202.26	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $933.25 / $1,380.38	Facility		$575.44	$933.25	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,096.48 / $1,621.81	Professional		$79.43	$1,096.48	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,244.36	Facility		$4,570.88	$5,888.44	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,659.59	Professional		$933.25	$1,258.93	$1,659.59
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 $724.44 / $1,047.13 / $1,621.81	Professional		$724.44	$1,047.13	$1,621.81