Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,412.54 / $7,943.28	Facility		$724.44	$1,412.54	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $1,412.54	Professional		$346.74	$630.96	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $891.25 / $1,698.24	Professional		$489.78	$891.25	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,584.89	Professional		$645.65	$954.99	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $758.58 / $1,445.44	Facility		$354.81	$758.58	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,047.13 / $1,479.11	Professional		$602.56	$1,047.13	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,584.89	Facility		$891.25	$1,230.27	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $724.44 / $1,380.38	Facility		$363.08	$724.44	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $933.25 / $1,621.81	Professional		$79.43	$933.25	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,548.82	Professional		$691.83	$1,071.52	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $1,698.24	Professional		$549.54	$954.99	$1,698.24