Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.48 / $2,747.00 / $7,920.26	Facility		$953.48	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.68 / $641.87 / $1,297.39	Professional		$466.68	$641.87	$1,297.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.59 / $1,048.50 / $1,496.44	Professional		$652.59	$1,048.50	$1,496.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $893.32 / $1,115.82 / $1,351.13	Professional		$893.32	$1,115.82	$1,351.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $887.39 / $1,392.19	Facility		$595.23	$887.39	$1,392.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $752.84 / $950.40 / $1,375.46	Professional		$752.84	$950.40	$1,375.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $650.25 / $1,024.92 / $1,192.59	Facility		$650.25	$1,024.92	$1,192.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $620.54 / $947.52 / $1,698.01	Facility		$620.54	$947.52	$1,698.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $811.43 / $1,051.89 / $1,444.02	Professional		$811.43	$1,051.89	$1,444.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.80 / $1,108.97 / $1,514.11	Professional		$812.80	$1,108.97	$1,514.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $787.92 / $1,151.33 / $1,662.02	Professional		$787.92	$1,151.33	$1,662.02