Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,548.82 / $13,182.57	Facility		$257.04	$1,548.82	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $524.81 / $1,122.02	Professional		$109.65	$524.81	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $588.84 / $1,995.26	Professional		$169.82	$588.84	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $588.84 / $1,513.56	Professional		$199.53	$588.84	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $7,943.28	Facility		$158.49	$758.58	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $891.25 / $1,659.59	Professional		$181.97	$891.25	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,659.59	Facility		$1,000.00	$1,202.26	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $575.44 / $1,548.82	Facility		$134.90	$575.44	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $331.13 / $1,737.80	Professional		$79.43	$331.13	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,691.53	Facility		$1,737.80	$2,238.72	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $1,621.81	Professional		$239.88	$426.58	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $724.44 / $1,905.46	Professional		$199.53	$724.44	$1,905.46