Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $7,943.28 / $33,884.42	Facility		$691.83	$7,943.28	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $2,041.74	Professional		$467.74	$691.83	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $1,513.56	Professional		$691.83	$1,122.02	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,023.29 / $1,288.25	Professional		$457.09	$1,023.29	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $20,417.38	Facility		$691.83	$1,047.13	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,621.81	Professional		$707.95	$977.24	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $977.24 / $1,023.29	Facility		$831.76	$977.24	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $1,288.25	Facility		$588.84	$812.83	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $954.99 / $1,412.54	Professional		$79.43	$954.99	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $35,481.34 / $44,668.36	Facility		$28,183.83	$35,481.34	$44,668.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,584.89	Professional		$933.25	$1,202.26	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $31,622.78 / $51,286.14	Facility		$21,379.62	$31,622.78	$51,286.14
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,513.56	Professional		$660.69	$1,071.52	$1,513.56