Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $977.24 / $6,606.93	Facility		$575.44	$977.24	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $977.24	Professional		$354.81	$467.74	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $1,202.26	Professional		$457.09	$831.76	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $1,071.52	Professional		$501.19	$741.31	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $660.69 / $1,148.15	Facility		$446.68	$660.69	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,122.02	Professional		$524.81	$724.44	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $870.96	Facility		$645.65	$831.76	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $616.60 / $1,023.29	Facility		$416.87	$616.60	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $794.33 / $1,096.48	Professional		$79.43	$794.33	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $19,498.45	Facility		$12,022.64	$16,218.10	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,148.15	Professional		$676.08	$851.14	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $23,442.29	Facility		$1,995.26	$10,232.93	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,148.15	Professional		$524.81	$776.25	$1,148.15