Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,148.15 / $13,182.57	Facility		$933.25	$1,148.15	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,148.15	Professional		$436.52	$562.34	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,000.00 / $1,380.38	Professional		$524.81	$1,000.00	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,174.90	Professional		$691.83	$912.01	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $812.83 / $1,621.81	Facility		$562.34	$812.83	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,230.27	Professional		$724.44	$870.96	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $954.99	Facility		$724.44	$891.25	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $707.95 / $1,148.15	Facility		$537.03	$707.95	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $912.01 / $1,288.25	Professional		$79.43	$912.01	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $19,054.61 / $38,904.51	Facility		$13,489.63	$19,054.61	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,288.25	Professional		$891.25	$1,023.29	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $45,708.82	Facility		$2,884.03	$17,782.79	$45,708.82
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,318.26	Professional		$616.60	$954.99	$1,318.26