Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $912.01 / $13,182.57	Facility		$741.31	$912.01	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $977.24	Professional		$363.08	$457.09	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $11,220.18	Facility		$4,365.16	$4,365.16	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $645.65 / $1,023.29	Professional		$346.74	$645.65	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $851.14	Professional		$512.86	$691.83	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $575.44 / $977.24	Facility		$371.54	$575.44	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $912.01	Professional		$575.44	$724.44	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $724.44 / $812.83	Facility		$602.56	$724.44	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $588.84 / $933.25	Facility		$354.81	$588.84	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $741.31 / $1,000.00	Professional		$79.43	$741.31	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $19,054.61 / $38,904.51	Facility		$13,489.63	$19,054.61	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $1,000.00	Professional		$691.83	$794.33	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $20,892.96 / $39,810.72	Facility		$2,818.38	$20,892.96	$39,810.72
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $1,071.52	Professional		$478.63	$758.58	$1,071.52