Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,174.90 / $7,943.28	Facility		$933.25	$1,174.90	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,148.15	Professional		$467.74	$575.44	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,000.00 / $1,412.54	Professional		$512.86	$1,000.00	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,148.15	Professional		$660.69	$870.96	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $1,621.81	Facility		$562.34	$794.33	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,230.27	Professional		$691.83	$831.76	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $933.25	Facility		$707.95	$912.01	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $1,148.15	Facility		$478.63	$707.95	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $891.25 / $1,258.93	Professional		$79.43	$891.25	$1,258.93
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 $851.14 / $1,000.00 / $1,258.93	Professional		$851.14	$1,000.00	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $23,442.29	Facility		$1,698.24	$5,754.40	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,318.26	Professional		$602.56	$933.25	$1,318.26