Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,202.26 / $13,803.84	Facility		$954.99	$1,202.26	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,445.44	Professional		$467.74	$630.96	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,412.54	Professional		$630.96	$1,000.00	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,000.00 / $1,230.27	Professional		$478.63	$1,000.00	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $7,943.28	Facility		$645.65	$912.01	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,548.82	Professional		$794.33	$977.24	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $912.01 / $954.99	Facility		$741.31	$912.01	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $741.31 / $1,202.26	Facility		$602.56	$741.31	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $891.25 / $1,318.26	Professional		$79.43	$891.25	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,513.56	Professional		$870.96	$1,148.15	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,412.54	Professional		$630.96	$1,023.29	$1,412.54