Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $7,943.28 / $13,803.84	Facility		$812.83	$7,943.28	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $1,698.24	Professional		$363.08	$489.78	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,884.03	Facility		$2,041.74	$2,041.74	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $724.44 / $1,071.52	Professional		$354.81	$724.44	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $977.24	Professional		$602.56	$812.83	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $575.44 / $977.24	Facility		$407.38	$575.44	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,047.13	Professional		$588.84	$741.31	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $758.58 / $831.76	Facility		$616.60	$758.58	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $954.99	Facility		$389.05	$575.44	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $794.33 / $1,122.02	Professional		$79.43	$794.33	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $12,022.64 / $14,791.08	Facility		$8,709.64	$12,022.64	$14,791.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,122.02	Professional		$741.31	$870.96	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $25,118.86	Facility		$1,995.26	$12,882.50	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $776.25 / $1,148.15	Professional		$446.68	$776.25	$1,148.15