Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $912.01 / $13,182.57	Facility		$758.58	$912.01	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $1,148.15	Professional		$371.54	$512.86	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,096.48	Professional		$501.19	$794.33	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $741.31 / $933.25	Professional		$331.13	$741.31	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $724.44 / $13,182.57	Facility		$478.63	$724.44	$13,182.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,174.90	Professional		$549.54	$758.58	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $707.95 / $758.58	Facility		$602.56	$707.95	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $954.99	Facility		$416.87	$524.81	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $724.44 / $1,047.13	Professional		$79.43	$724.44	$1,047.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61,659.50 / $77,624.71 / $97,723.72	Facility		$61,659.50	$77,624.71	$97,723.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,148.15	Professional		$691.83	$870.96	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $41,686.94 / $74,131.02 / $93,325.43	Facility		$41,686.94	$74,131.02	$93,325.43
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,122.02	Professional		$549.54	$794.33	$1,122.02