Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,096.48 / $7,943.28	Facility		$891.25	$1,096.48	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,348.96	Professional		$457.09	$588.84	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,023.29 / $1,318.26	Professional		$602.56	$1,023.29	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $933.25 / $1,148.15	Professional		$416.87	$933.25	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $891.25 / $5,011.87	Facility		$588.84	$891.25	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,445.44	Professional		$724.44	$933.25	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $851.14 / $912.01	Facility		$724.44	$851.14	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $1,230.27	Facility		$524.81	$794.33	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $851.14 / $1,230.27	Professional		$79.43	$851.14	$1,230.27
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 $831.76 / $1,071.52 / $1,412.54	Professional		$831.76	$1,071.52	$1,412.54
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 / $1,000.00 / $1,318.26	Professional		$630.96	$1,000.00	$1,318.26