Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,445.44 / $7,943.28	Facility		$588.84	$1,445.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $575.44 / $1,621.81	Professional		$288.40	$575.44	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $812.83 / $1,698.24	Professional		$446.68	$812.83	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,513.56	Professional		$457.09	$676.08	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $676.08 / $1,548.82	Facility		$316.23	$676.08	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $851.14 / $1,445.44	Professional		$446.68	$851.14	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,288.25	Facility		$851.14	$1,174.90	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $724.44 / $1,318.26	Facility		$346.74	$724.44	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $776.25 / $1,584.89	Professional		$79.43	$776.25	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,398.83	Facility		$1,412.54	$1,995.26	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,621.81	Professional		$616.60	$870.96	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,311.31 / $6,165.95	Facility		$389.05	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $831.76 / $1,548.82	Professional		$467.74	$831.76	$1,548.82