Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,047.13 / $7,943.28	Facility		$812.83	$1,047.13	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $1,230.27	Professional		$389.05	$537.03	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $1,230.27	Professional		$524.81	$891.25	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $870.96 / $1,071.52	Professional		$416.87	$870.96	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $776.25 / $6,025.60	Facility		$537.03	$776.25	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,348.96	Professional		$616.60	$741.31	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $724.44 / $831.76	Facility		$537.03	$724.44	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $954.99	Facility		$524.81	$616.60	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $741.31 / $1,122.02	Professional		$79.43	$741.31	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,748.98 / $14,791.08	Facility		$8,317.64	$11,748.98	$14,791.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,318.26	Professional		$758.58	$977.24	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $1,202.26	Professional		$467.74	$776.25	$1,202.26