Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,380.38 / $13,803.84	Facility		$933.25	$1,380.38	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,479.11	Professional		$489.78	$691.83	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,202.26 / $1,778.28	Professional		$588.84	$1,202.26	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,513.56	Professional		$676.08	$1,047.13	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $954.99 / $1,584.89	Facility		$616.60	$954.99	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,513.56	Professional		$741.31	$1,023.29	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,258.93	Facility		$870.96	$1,202.26	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,380.38	Facility		$575.44	$891.25	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,096.48 / $1,548.82	Professional		$79.43	$1,096.48	$1,548.82
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 $891.25 / $1,174.90 / $1,584.89	Professional		$891.25	$1,174.90	$1,584.89
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 $645.65 / $1,122.02 / $1,659.59	Professional		$645.65	$1,122.02	$1,659.59