Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $891.25 / $7,943.28	Facility		$707.95	$891.25	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $870.96	Professional		$354.81	$446.68	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $758.58 / $1,071.52	Professional		$389.05	$758.58	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $870.96	Professional		$501.19	$660.69	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $602.56 / $1,202.26	Facility		$426.58	$602.56	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $933.25	Professional		$512.86	$660.69	$933.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $707.95	Facility		$562.34	$691.83	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $537.03 / $870.96	Facility		$363.08	$537.03	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $676.08 / $954.99	Professional		$79.43	$676.08	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $10,964.78 / $13,182.57	Facility		$5,754.40	$10,964.78	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $954.99	Professional		$645.65	$758.58	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $15,135.61	Facility		$1,096.48	$3,715.35	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,000.00	Professional		$457.09	$707.95	$1,000.00