Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $21,877.62	Facility		$724.44	$891.25	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $1,096.48	Professional		$380.19	$478.63	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $1,071.52	Professional		$478.63	$831.76	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $724.44 / $891.25	Professional		$323.59	$724.44	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $13,182.57	Facility		$478.63	$707.95	$13,182.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,122.02	Professional		$562.34	$794.33	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $676.08 / $794.33	Facility		$588.84	$676.08	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $660.69 / $1,000.00	Facility		$407.38	$660.69	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $691.83 / $1,000.00	Professional		$79.43	$691.83	$1,000.00
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 $660.69 / $851.14 / $1,148.15	Professional		$660.69	$851.14	$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 / $758.58 / $1,071.52	Professional		$549.54	$758.58	$1,071.52