Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $7,943.28	Facility		$1,047.13	$1,348.96	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $1,288.25	Professional		$457.09	$602.56	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,148.15 / $1,621.81	Professional		$549.54	$1,148.15	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,348.96	Professional		$776.25	$1,000.00	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $851.14 / $1,698.24	Facility		$575.44	$851.14	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,348.96	Professional		$741.31	$851.14	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $933.25 / $1,047.13	Facility		$691.83	$933.25	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $1,230.27	Facility		$562.34	$794.33	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $977.24 / $1,412.54	Professional		$79.43	$977.24	$1,412.54
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 $954.99 / $1,148.15 / $1,412.54	Professional		$954.99	$1,148.15	$1,412.54
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 $602.56 / $954.99 / $1,380.38	Professional		$602.56	$954.99	$1,380.38