Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $4,265.80 / $6,606.93	Facility		$398.11	$4,265.80	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $467.74 / $1,174.90	Professional		$144.54	$467.74	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $524.81 / $1,548.82	Professional		$223.87	$524.81	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $478.63 / $1,202.26	Professional		$257.04	$478.63	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,630.27 / $6,606.93	Facility		$229.09	$2,630.27	$6,606.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $630.96 / $1,288.25	Professional		$229.09	$630.96	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $954.99 / $1,318.26	Facility		$794.33	$954.99	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $478.63 / $1,202.26	Facility		$173.78	$478.63	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $426.58 / $1,348.96	Professional		$79.43	$426.58	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Facility		$3,890.45	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $549.54 / $1,288.25	Professional		$309.03	$549.54	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $630.96 / $1,513.56	Professional		$263.03	$630.96	$1,513.56