Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $7,943.28	Facility		$977.24	$1,288.25	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,230.27	Professional		$457.09	$575.44	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,096.48 / $1,548.82	Professional		$524.81	$1,096.48	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,288.25	Professional		$741.31	$954.99	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $812.83 / $1,698.24	Facility		$562.34	$812.83	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $1,288.25	Professional		$691.83	$794.33	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $870.96 / $1,000.00	Facility		$616.60	$870.96	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $741.31 / $1,174.90	Facility		$512.86	$741.31	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $912.01 / $1,318.26	Professional		$79.43	$912.01	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $5,754.40	Facility		$3,548.13	$4,786.30	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,348.96	Professional		$912.01	$1,071.52	$1,348.96
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 $562.34 / $870.96 / $1,318.26	Professional		$562.34	$870.96	$1,318.26