Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,584.89 / $7,943.28	Facility		$851.14	$1,584.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,905.46	Professional		$630.96	$851.14	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,905.46	Professional		$870.96	$1,348.96	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,318.26 / $1,621.81	Professional		$645.65	$1,318.26	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $977.24 / $2,187.76	Facility		$851.14	$977.24	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $2,041.74	Professional		$1,047.13	$1,288.25	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,288.25	Facility		$1,047.13	$1,230.27	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,621.81	Facility		$741.31	$977.24	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,202.26 / $1,778.28	Professional		$79.43	$1,202.26	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $1,995.26	Professional		$1,174.90	$1,513.56	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $1,862.09	Professional		$831.76	$1,318.26	$1,862.09